Radionecrosis induced by cardiac imaging procedures: a case study of a 66-year-old diabetic male with several comorbidities.
Radionecrosis is a rare sequitur of cardiac catheterization and imaging procedures. A 66-year-old diabetic male with several comorbidities developed a scapular burn immediately after the last of 3 cardiac catheterization and stenting procedures conducted over a 3-year period. The burn subsequently developed into a large eschar that required extensive debridement, a prolonged treatment of hyperbaric oxygen therapy, and plastic surgery to heal. Wound healing was compromised by the patient's diabetes and a potentially long course of steroids prescribed for other medical problems. Primary clinicians should be aware of suspicious-looking wounds that develop subsequent to cardiac catheterizations, especially in diabetic patients.
Banaag
Liza De Olazo
Lde O
Center for Wound Care and Hyperbaric Medicine at Grenada Lake Medical Center, 965 J. K. Avent Drive, Suite 100-A, Grenada, MS 38901, USA. liza.banaag@glmc.net
Carter
Marissa J
MJ
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D019917:Blood Vessel Prosthesis Implantation; D002056:Burns / Q000209:etiology*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000628:therapy; D023903:Coronary Restenosis / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications; D011832:Radiation Injuries / Q000150:complications*; D012086:Reoperation; D012867:Skin / Q000473:pathology*