학술논문

Chronic radiation dermatitis induced by cardiac catheterization: a case report and literature review
Document Type
Academic Journal
Source
Acta Dermatovenerologica Alpina, Pannonica et Adriatica. October 2022, Vol. 31 Issue 4, p147, 3 p.
Subject
Diagnosis
Risk factors
Heart catheterization
Cardiac patients
Medical schools
Radiation (Physics)
Dermatitis -- Risk factors -- Diagnosis
Cardiac catheterization
Skin -- Inflammation
Radiation
Medical colleges
Language
English
ISSN
1318-4458
Abstract
Introduction The American College of Radiology has highlighted the following fluoroscopic procedures with a substantial radiation dose: transjugular intrahepatic portosystemic shunt creation, embolization of any lesion in any location, visceral [...]
Fluoroscopy-induced chronic radiation dermatitis (FICRD) is an uncommon but increasing complication that is challenging to diagnose due to its varied symptoms and delayed onset, usually from months to years after radiation exposure. For patients undergoing cardiac catheterization, high-risk factors for radiodermatitis include obesity, the presence of complex or chronic total occlusion lesions, the use of a fixed large beam angulation, and a procedure time of more than 2 hours. We present an individual with FICRD that had an indurated plaque on his back for 7 years to familiarize physicians with high-risk groups and early recognition of the disease. Keywords: radiation dermatitis, cardiac catheterization, chronic total occlusion, fluoroscopy, indurated plaque