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J Invasive Cardiol. 2003 Aug;15(8):451-3.

Iatrogenic deep musculocutaneous radiation injury following percutaneous coronary intervention.

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Medical Director, Pediatric Plastic Surgery, Children s Hospital Central California, 9300 Valley Children s Place, Madera, CA, 93638-8762, USA.


Radiation-induced skin injury has been reported for multiple fluoroscopic procedures. Previous studies have indicated that prolonged fluoroscopic exposure during even a single percutaneous coronary intervention (PCI) may lead to cutaneous radiation injury. We document a novel case of deep muscle damage requiring wide local debridement and muscle flap reconstruction in a 59-year-old man with a large radiation-induced wound to the lower thoracic region following 1 prolonged PCI procedure. The deep muscular iatrogenic injury described in this report may be the source of significant morbidity. Recommendations to reduce radiation-induced damage include careful examination of the skin site before each procedure, minimized fluoroscopy time, utilization of pulse fluoroscopy, employment of radiation filters, and collimator s and rotation of the location of the image intensifier.

[Indexed for MEDLINE]

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