Repeated fluoroscopy-guided cardiac interventions can result in cumulative radiation exposure leading to severe cutaneous injuries such as radionecrosis.
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Clinicians should consider radiation dermatitis in non-healing ulcers after repeated catheterizations; this case leaves open prevention strategies.
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.
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Tchanque‐Fossuo et al. (2016) studied this question.
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