Fluoroscopy-induced radionecrosis.
Complications from radiation exposure during fluoroscopic guidance of cardiac catheterization may occur. With repeated procedures, the risk for cutaneous injuries increases. Herein, we describe a 59-year-old man with extensive coronary artery disease, who had undergone multiple revascularization procedures and developed a non-healing ulcer on his left inferior scapula. The patient's medical history, physical exam findings, and histopathology gave clues to a case of radiation-induced dermatitis and necrosis.
Catherine N
CN
Tchanque-Fossuo
Faranak
F
Kamangar
Baran
B
Ho
Shurong
S
Chang
Sara E
SE
Dahle
Joshua M
JM
Schulman
Dermatology Service, Sacramento VA Medical Center, Mather, CA Department of Dermatology, University of California Davis, Sacramento, CA. rrisseroff@ucdavis.edu.
R Rivkah
RR
Isseroff
D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D001415:Back; D006328:Cardiac Catheterization / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods; D003324:Coronary Artery Disease / Q000601:surgery*; D005471:Fluoroscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011855:Radiodermatitis / Q000209:etiology* / Q000473:pathology; D012867:Skin / Q000473:pathology*