Radiation-induced rupture of the superficial femoral artery: a case report

Ann Vasc Surg. 2015 Jul;29(5):1017.e7-1017.e10. doi: 10.1016/j.avsg.2014.12.034. Epub 2015 Mar 2.

Abstract

Background: Radiation-induced necrosis and arteriopathy are well-known iatrogenic pathologic entities. However, radiation-induced rupture of the superficial femoral artery is an exceptional life-threatening event.

Report: We hereby report a case of radiation-induced rupture of the superficial femoral artery that was successfully treated by fascial stitching then by an endovascular approach by stenting.

Results: Infection, skin stiffness, and major tissue loss in a previously irradiated field are important limiting factors to an open surgical approach.

Conclusion: It is important to consider using a combined approach for selected patients.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Diagnosis, Differential
  • Female
  • Femoral Artery / radiation effects*
  • Humans
  • Middle Aged
  • Radiation Injuries / complications*
  • Radiation Injuries / diagnosis
  • Rupture, Spontaneous
  • Tomography, X-Ray Computed
  • Vascular Diseases / diagnosis
  • Vascular Diseases / etiology*
  • Vascular Diseases / surgery
  • Vascular Surgical Procedures / methods
  • Vulvar Neoplasms / radiotherapy*