Bergqvist D, Jonsson K, Nilsson M, Takolander R
Surg Gynecol Obstet. 1987 Aug;165(2):116-20.
Of 1,724 patients who underwent peripheral vascular operation, 12 (0.7 per cent) underwent radiation therapy of the areas including the relevant arteries one and one-half to 28 years (a mean of 15 years) previously; one patient had carcinoma of the breast, three had tumors of the neck and eight patients had malignant gynecologic disease. One patient with an occluded carotid artery was not actively treated, two underwent percutaneous transluminal angioplasty and the remaining patients underwent different types of vascular reconstructions. These patients frequently have other radiation lesions as well with involvement of the skin, bladder or intestine, which may make them problematic from a surgical point of view. Extra-anatomic reconstructions or percutaneous transluminal angioplasty can be recommended. One patient died of malignant disease three years after arterial operation. Otherwise, the results of follow-up study for these patients did not differ from other patients who underwent arterial reconstruction.
在1724例行外周血管手术的患者中，有12例（0.7%）曾在术前1.5至28年（平均15年）接受过包括相关动脉区域的放射治疗；1例患有乳腺癌，3例患有颈部肿瘤，8例患有妇科恶性疾病。1例颈动脉闭塞患者未接受积极治疗，2例接受了经皮腔内血管成形术，其余患者接受了不同类型的血管重建术。这些患者常伴有其他放射损伤，累及皮肤、膀胱或肠道，从手术角度来看可能会带来问题。可推荐采用解剖外重建术或经皮腔内血管成形术。1例患者在动脉手术后3年死于恶性疾病。否则，这些患者的随访结果与其他接受动脉重建的患者并无差异。
