Cavendish Jeffrey J, Berman Brett J, Schnyder Guido, Kerber Charles, Mahmud Ehtisham, Turi Zoltan G, Blanchard Daniel, Tsimikas Sotirios
Division of Cardiology, University of California, San Diego, California, USA.
Catheter Cardiovasc Interv. 2004 Jul;62(3):385-90. doi: 10.1002/ccd.20111.
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.
既往已有关于仅累及冠状动脉或外周血管的外照射诱发狭窄的报道。我们首次报告了两名患者在胸部接受外照射后出现冠状动脉和多支弓血管疾病并存的临床表现。我们回顾了其病理生理学，讨论了治疗选择，并描述了针对这种罕见但可能诊断不足的疾病相关的冠状动脉、颈动脉、锁骨下动脉和腋动脉狭窄的经皮治疗。
