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Abstract
The authors followed up 41 consecutive patients (21 symptomatic) with internal carotid artery stenosis ≥70% and previous neck irradiation. After 28 months, 15 patients (36.6%) had died, five (12.2%) had had an ischemic stroke, and 15 (36.6%) had a new malignancy. Having a new malignancy was the only independent predictor of death. The major risk for patients with ICA stenosis ≥70% and previous neck irradiation is malignancy, not stroke.
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