Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis

Radiation arteritis is not an uncommon clinical situation, given that almost 50% of patients with cancer receive radiotherapy in the course of treatment. Radiation effects are non-specific, and late radiation tissue injury presentation can be very variable. However, radiation arteritis has some uniq...

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Autores principales:	Huthayfa Ghanem, Sadia Jaskani, Mohamed Alloush, Ibrahim Hanbal, Marzouk Albader, Hussein Safar, Jassim Al-Ali, Sami Asfar
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/8fe25e3252964712a58a4152513df2c2
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spelling	oai:doaj.org-article:8fe25e3252964712a58a4152513df2c22021-12-04T16:03:12ZStiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis10.15420/ver.2019.072516-33022516-3299https://doaj.org/article/8fe25e3252964712a58a4152513df2c22020-06-01T00:00:00Zhttps://www.verjournal.com/articleindex/ver.2019.07https://doaj.org/toc/2516-3299https://doaj.org/toc/2516-3302Radiation arteritis is not an uncommon clinical situation, given that almost 50% of patients with cancer receive radiotherapy in the course of treatment. Radiation effects are non-specific, and late radiation tissue injury presentation can be very variable. However, radiation arteritis has some unique clinical and radiological features, with consequent special therapeutic considerations. Iliac radiation arteritis may be accompanied by radiation-associated iliac vein disease and small vessel disease. Therefore, diagnostic and therapeutic plans should be directed toward all possible late radiation effects as relevant. Despite the complexity of the disease process and diagnostic challenges, treatment can be very straightforward if adequately planned. Otherwise, limb loss and/or life-threatening complications can rapidly ensue. This article highlights the natural history of radiation arteritis, with a particular emphasis on the iliac segment, and discusses the risk potentials of this condition, given that limb loss may be multifactorial, not merely because of the iliac arterial flow interruption. The main lines of management are also briefly discussed.Huthayfa GhanemSadia JaskaniMohamed AlloushIbrahim HanbalMarzouk AlbaderHussein SafarJassim Al-AliSami AsfarRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular and Endovascular Review , Vol 3, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Huthayfa Ghanem Sadia Jaskani Mohamed Alloush Ibrahim Hanbal Marzouk Albader Hussein Safar Jassim Al-Ali Sami Asfar Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
description	Radiation arteritis is not an uncommon clinical situation, given that almost 50% of patients with cancer receive radiotherapy in the course of treatment. Radiation effects are non-specific, and late radiation tissue injury presentation can be very variable. However, radiation arteritis has some unique clinical and radiological features, with consequent special therapeutic considerations. Iliac radiation arteritis may be accompanied by radiation-associated iliac vein disease and small vessel disease. Therefore, diagnostic and therapeutic plans should be directed toward all possible late radiation effects as relevant. Despite the complexity of the disease process and diagnostic challenges, treatment can be very straightforward if adequately planned. Otherwise, limb loss and/or life-threatening complications can rapidly ensue. This article highlights the natural history of radiation arteritis, with a particular emphasis on the iliac segment, and discusses the risk potentials of this condition, given that limb loss may be multifactorial, not merely because of the iliac arterial flow interruption. The main lines of management are also briefly discussed.
format	article
author	Huthayfa Ghanem Sadia Jaskani Mohamed Alloush Ibrahim Hanbal Marzouk Albader Hussein Safar Jassim Al-Ali Sami Asfar
author_facet	Huthayfa Ghanem Sadia Jaskani Mohamed Alloush Ibrahim Hanbal Marzouk Albader Hussein Safar Jassim Al-Ali Sami Asfar
author_sort	Huthayfa Ghanem
title	Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
title_short	Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
title_full	Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
title_fullStr	Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
title_full_unstemmed	Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis
title_sort	stiff to dilate and risky to cut through: iliac radiation arteritis
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/8fe25e3252964712a58a4152513df2c2
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Stiff to Dilate and Risky to Cut Through: Iliac Radiation Arteritis

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