[abstract] RADIONECROSIS INDUCED BY CARDIAC IMAGING PROCEDURES: A CASE STUDY OF A 66 YEAR-OLD DIABETIC MALE WITH SEVERAL COMORBIDITIES

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[abstract] RADIONECROSIS INDUCED BY CARDIAC IMAGING PROCEDURES: A CASE STUDY OF A 66 YEAR-OLD DIABETIC MALE WITH SEVERAL COMORBIDITIES

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Title: [abstract] RADIONECROSIS INDUCED BY CARDIAC IMAGING PROCEDURES: A CASE STUDY OF A 66 YEAR-OLD DIABETIC MALE WITH SEVERAL COMORBIDITIES
Author: Banaag, L; Carter, M
Abstract: BACKGROUND: Radionecrosis is a rare sequitur of cardiac catheterization and imaging procedures. Cardiologists and primary care physicians should be aware of suspicious-looking wounds that develop subsequent to cardiac catheterization especially in diabetic patients. CASE REPORT: A 66 year-old male with diabetes who developed a scapular burn immediately after the last of three cardiac catheterizations and stenting procedures conducted over a 3-year period. The burn subsequently developed into a large eschar that required extensive debridement, hyperbaric oxygen therapy, and plastic surgery to heal. RESULTS: Patient received extensive debridements, 30 Hyperbaric treatments at 2 ATA for 90 minutes before and 10 treatments after plastic surgery closure. These resulted in complete healing. CONCLUSIONS: Radiation necrosis resulting from prolonged and complicated cardiac interventional procedures may appear to be rare but as these procedures become more sophisticated and effective, it will be increasingly employed. As a result, the incidence of such events is expected to proportionately increase. To avoid delay in diagnosis and treatment, cardiovascular specialists should be advised to estimate dosages during intervention and include them in the medical record so that primary care physician can be alerted if the estimated dose exceeds the estimated threshold radiation dose of 6 Gy. Diabetic patients should also be informed regarding the risk of developing the radiodermatitis during vascular imaging procedures so that they can report it immediately and be treated promptly. Radiation necrosis after cardiac catheterization.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting, Las Vegas, Nevada, USA. (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/9150
Date: 2009

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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