Radiation-induced rupture of the superficial femoral artery: a case report.
BACKGROUND
Radiation-induced necrosis and arteriopathy are well-known iatrogenic pathologic entities. However, radiation-induced rupture of the superficial femoral artery is an exceptional life-threatening event.


METHODS
We hereby report a case of radiation-induced rupture of the superficial femoral artery that was successfully treated by fascial stitching then by an endovascular approach by stenting.


RESULTS
Infection, skin stiffness, and major tissue loss in a previously irradiated field are important limiting factors to an open surgical approach.


CONCLUSIONS
It is important to consider using a combined approach for selected patients.
Vascular Surgery Department, Hotel-Dieu de France, Beirut, Lebanon.
Julien
J
Dahdah
Radiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France. Electronic address: George.farha@gustaveroussy.fr.
Georges
G
Farha
Vascular Surgery Department, Hotel-Dieu de France, Beirut, Lebanon.
Lamisse
L
Karam
Vascular Surgery Department, Hotel-Dieu de France, Beirut, Lebanon.
Elie
E
Kassabian
Radiology Department, Hotel-Dieu de France, Beirut, Lebanon.
Sami
S
Slaba
Vascular Surgery Department, Hotel-Dieu de France, Beirut, Lebanon.
Georges
G
Tabet
D000792:Angiography; D003937:Diagnosis, Differential; D005260:Female; D005263:Femoral Artery / Q000528:radiation effects*; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000150:complications* / Q000175:diagnosis; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods; D014846:Vulvar Neoplasms / Q000532:radiotherapy*