Evidence map›Paper›PMID 31146165›Full record

ArticleTranslational oncology2019

Management of Radiation Induced Carotid Stenosis in Head and Neck Cancer.

Piotr Trojanowski, Michał Sojka, Agnieszka Trojanowska, Andrzej Wolski, Tomasz Roman, Tomasz Jargiello

Open access · goldAbstract read
In one paragraph

Article in Translational oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  7. Article
  8. Article
  9. Revisiting the Role of Surgical Resection for Brain Metastasis.Brain tumor research and treatment · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Screening for irradiation vasculopathy by intima-media thickness sonography in head and neck cancer patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  15. Review
  16. Article
  17. Novel triple coaxial system to navigate 9 French balloon guiding catheter into common carotid artery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Piotr TrojanowskiDepartment of Otolaryngology and Laryngological Oncology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: troja23@gmail.com.
Michał SojkaDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: michalsojka@op.pl.
Agnieszka TrojanowskaI Department of Medical Radiology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: agnieszka30@yahoo.com.
Andrzej WolskiDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: andrzej.wolski@umlub.pl.
Tomasz RomanDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: tomek.gov@gmail.com.
Tomasz JargielloDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Jaczewskiego 8, 20 954 Lublin, Poland. Electronic address: tojarg@interia.pl.
Medical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPresentation of radiation-induced lesions in carotid arteries of patients with head and neck squamous cell carcinoma (HNSCC) and the evaluation of the effectiveness of endovascular treatment of symptomatic stenoses. MATERIALS AND

methodsWe retrospectively analyzed 26 patients who underwent surgery and subsequently cervical radiotherapy (RT) for HNSCC, focusing on radiation-induced vascular disease in neck arteries-from the latency period to the occurrence of neurological events-and the endovascular treatment of the internal carotid artery (ICA) and/or of common carotid artery (CCA) stenoses. The vascular lesions were diagnosed with Doppler ultrasonography and selective digital angiography. Patients with >70% stenoses of ICA and/or CCA were scheduled for carotid artery stenting (CAS). They were followed-up with neurological examinations and Doppler ultrasonography at 6, 12, and 24 months after stenting.

resultsRadiation-induced vascular diseases occurred in the ICA in 22 patients (85%), CCA in 15 (58%), and in ECA in 15 (58%). The stents were implanted in 25 ICA and 17 CCA. Thirteen patients (50%) had one stent, eight (30%) had two stents, four (15%) had three stents, and one patient had five stents. Overall, 46 stents were implanted. Technical success was achieved in all patients. No cerebrovascular events occurred in the 24-months follow-up.

conclusionRT in patients with HNSCC holds a significant risk factor of developing carotid artery stenosis and cerebrovascular events. Carotid stenting is preferable mode of treatment for radiation-induced stenosis. A screening program with doppler ultrasonography enables pre-stroke detection of carotid stenosis.

Identifiers

PMID31146165
PMCPMC6542749
OpenAlexW2947407372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.