Cerebrovascular Insufficiency from Radiation-Induced Progressive Obstruction of Supra-Aortic Vessels

Background Radiation therapy may accelerate atherosclerosis with progressive stenosis and occlusions of supra-aortic trunks. Methods and Results We report the case of a 44-year-old woman with radiation-induced occlusion of the supra-aortic trunks presenting with recurrent cerebrovascular insufficiency after an unusual surgical revascularization technique (retrograde femoral-axillary bypass) performed for late failure of previous endovascular treatment. Conclusions Customized surgical procedure can be considered as a bailout to improve cerebral blood inflow in selected cases.