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Upper extremity occlusive arterial disease after radiotherapy for breast cancer
Author(s) -
Atabek Umur,
Spence Richard K.,
Alexander James B.,
Pello Mark J.,
Camishion Rudolph C.
Publication year - 1992
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930490315
Subject(s) - medicine , angioplasty , radiation therapy , surgery , ischemia , complication , mastectomy , brachial artery , balloon , breast cancer , radiology , peripheral arterial occlusive disease , cancer , cardiology , peripheral , blood pressure
Upper extremity arterial occlusive disease is a rare complication of radiation therapy for breast cancer. We present the case of a 74 year old woman who developed upper extremity ischemia 32 years after mastectomy and radiation therapy. Arteriography identified a stenotic proximal brachial artery lesion within the previous radiation field. Ballon angioplasty was unsuccessful. An axillo‐brachial bypass relieved the ischemia and is still patent after 24 months. The previous literature shows that arterial bypass procedures have been uniformly successful in this circumstance. Little experience has been reported with balloon angioplasty for these lesions.