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Surgery FMGE 2017 b8606376

Which of the following is the best management for radiation induced occlusive disease of carotid aery?

A
Low dose aspirin
B
Carotid angioplasty and stenting
C
Carotid endaerectomy
D
Carotid bypass procedure
High-Yield Explanation
Radiation will cause obliterative endaeritis in small vessels and in larger vessels.It causes stenosis. In Radiation induced stenosis or occlusive disease, the preferred form of treatment is minimal invasive intervention: CAROTID ANGIOPLAST AND STENTING. Low dose Aspirin is not helpful Carotid bypass procedure is highly morbid procedure and Carotid endaerectomy is not usually performed

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