Clinical outcome in patients with high-grade internal carotid artery stenosis after irradiation.
prospective_cohort · Level II
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Abstract
The authors followed up 41 consecutive patients (21 symptomatic) with internal carotid artery stenosis > or =70% and previous neck irradiation. After 28 months, 15 patients (36.6%) had died, five (12.2%) had had an ischemic stroke, and 15 (36.6%) had a new malignancy. Having a new malignancy was the only independent predictor of death. The major risk for patients with ICA stenosis > or =70% and previous neck irradiation is malignancy, not stroke.
Medical subject headings
- Carotid Stenosis
- Head and Neck Neoplasms
- Neoplasm Recurrence, Local
- Neoplasms, Second Primary
- Radiotherapy
- Stroke