ANGIOPLASTY FOR SYMPTOMATIC RADIATION-INDUCED EXTRACRANIAL CAROTID-ARTERY STENOSIS - CASE-REPORT

A PATIENT WITH cervical lymphoma received chemotherapy and radiation t o the neck. He later presented with crescendo transient ischemic attac ks. Angiography demonstrated bilateral cervical carotid stenosis, whic h was presumed to be the result of previous radiation therapy. Percuta neous transluminal angioplasty with balloon dilation of the symptomati c lesion resulted in an immediate cessation of the patient's transient ischemic attacks. Nine months later, he developed a symptomatic cervi cal carotid stenosis of the contralateral carotid artery, which also w as treated successfully with angioplasty, resulting in a good clinical outcome. The patient has experienced no further ischemic events in th e 2 years after treatment.