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Concomitant coronary and multiple arch vessel stenoses in patients treated with external beam radiation: Pathophysiological basis and endovascular treatment
Author(s) -
Cavendish Jeffrey J.,
Berman Brett J.,
Schnyder Guido,
Kerber Charles,
Mahmud Ehtisham,
Turi Zoltan G.,
Blanchard Daniel,
Tsimikas Sotirios
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20111
Subject(s) - medicine , concomitant , external beam radiation , pathophysiology , radiology , cardiology , radiation exposure , coronary angiography , radiation therapy , nuclear medicine , myocardial infarction
External beam radiation‐induced stenoses isolated to the coronary arteries or peripheral vessels have been previously described. We report for the first time the clinical presentation of two patients with concomitant coronary artery and multiple arch vessel disease following external beam radiation of the chest. We review the pathophysiology, discuss the treatment options and describe the percutaneous treatment of coronary, carotid, subclavian, and axillary stenoses related to this rare but likely underdiagnosed disorder. Catheter Cardiovasc Interv 2004;62:385–390. © 2004 Wiley‐Liss, Inc.