临床与病理杂志2024，Vol.44Issue(10)：1470-1474,5.DOI:10.11817/j.issn.2095-6959.2024.240292
超声诊断放射性颈动脉狭窄1例并文献复习
Ultrasonopraphic diagnosis of radiation-induced carotid artery stenosis:A case report and literature review
张嘉靖 1曹文悦 1陈洁1
作者信息
- 1. 上海市胸科医院,上海交通大学医学院附属胸科医院超声科,上海 200030
- 折叠
摘要
Abstract
Carotid artery stenosis induced by long-term radiotherapy can lead to stroke and subsequent patient mortality.This report presents a color Doppler ultrasonography follow-up of the carotid arteries in a patient who underwent radiotherapy for a malignant thymic tumor.Follow-up examinations were performed at 1 week,1 year,2 years,and 3 years after radiotherapy,and at 5 months after carotid angioplasty and vertebral artery stenting.The ultrasonographic evaluation recorded the average carotid intima-media thickness(IMT),the distribution and degree of stenosis,and the sonographic characteristics of plaques.Results showed that,3 years post-radiotherapy,soft plaques predominantly composed of non-calcified material were observed in the left common carotid artery,left subclavian artery,and left vertebral artery,with the degree of stenosis being moderate or greater.Additionally,the average carotid IMT continuously increased with longer durations following radiotherapy.These findings suggest that regular carotid ultrasonography in patients undergoing long-term radiotherapy may facilitate early intervention for this complication,thereby improving patient survival and quality of life.关键词
颈动脉狭窄/放射治疗/超声成像/肿瘤/斑块Key words
carotid artery stenosis/radiotherapy/ultrasonographic imaging/tumors/plaques引用本文复制引用
张嘉靖,曹文悦,陈洁..超声诊断放射性颈动脉狭窄1例并文献复习[J].临床与病理杂志,2024,44(10):1470-1474,5.
