Prolonged success with a covered endovascular stent after emergent use in radiation-induced subclavian artery blowout: a case report

Vasc Endovascular Surg. 2008 Apr-May;42(2):187-91. doi: 10.1177/1538574407309318.

Abstract

Radiation-induced damage to the bone, soft tissues, and vasculature represents the unfortunate consequences of radiation therapy for the treatment of malignant tumors. Complications arising from irradiation are frequently challenging to manage and may be life threatening. A case is presented of a patient with a longstanding clavicular osteoradionecrosis with an acute massive hemorrhage after rupture of the subclavian artery and subsequent management with endovascular stent placement. With over 2 years' follow-up, vascular patency was maintained with no further bleeding episodes in this surgically high-risk patient.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / surgery
  • Aneurysm, False / therapy*
  • Aneurysm, Ruptured / diagnostic imaging
  • Aneurysm, Ruptured / etiology
  • Aneurysm, Ruptured / surgery
  • Aneurysm, Ruptured / therapy*
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Clavicle / radiation effects
  • Embolization, Therapeutic*
  • Fatal Outcome
  • Hemorrhage / diagnostic imaging
  • Hemorrhage / etiology
  • Hemorrhage / surgery
  • Hemorrhage / therapy*
  • Hodgkin Disease / radiotherapy
  • Humans
  • Male
  • Middle Aged
  • Osteoradionecrosis / etiology
  • Radiation Injuries / diagnostic imaging
  • Radiation Injuries / etiology
  • Radiation Injuries / surgery
  • Radiation Injuries / therapy*
  • Radiography
  • Radiotherapy / adverse effects
  • Stents*
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / radiation effects
  • Subclavian Artery / surgery*