Abstract
Actinic vascular lesions tend to be stenotic-occlusive lesions. In this article, we present 2 exceptional cases of pseudoaneurysms caused by radionecrosis of the supra-aortic trunks. Both patients were treated by a retrograde carotid approach and deployment of a self-expanding covered stent. Proper exclusion of the pseudoaneurysm was attained in both cases; the first patient remained asymptomatic 12 months later; the second patient died of mediastinitis. Compared with conventional surgery, endovascular management is a viable, less invasive alternative in select patients, especially in life-threatening cases.
Copyright © 2014 Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Aneurysm, False / diagnosis
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Aneurysm, False / etiology
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Aneurysm, False / therapy*
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Brachiocephalic Trunk* / diagnostic imaging
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Brachiocephalic Trunk* / injuries
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Brachiocephalic Trunk* / radiation effects
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Endovascular Procedures / adverse effects
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Endovascular Procedures / instrumentation*
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Fatal Outcome
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Female
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Humans
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Mediastinitis / microbiology
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Necrosis
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Patient Selection
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Prosthesis Design
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Radiation Injuries / diagnosis
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Radiation Injuries / etiology
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Radiation Injuries / therapy*
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Radiotherapy / adverse effects
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Risk Factors
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Stents*
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular System Injuries / diagnosis
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Vascular System Injuries / etiology
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Vascular System Injuries / therapy*