Related Experiment Video
Updated: Jun 8, 2026
11:27
Magnetically-Assisted Remote Controlled Microcatheter Tip Deflection under Magnetic Resonance Imaging
Published on: April 4, 2013
Iatrogenic fluoroscopy injury to the skin
David Otterburn1, Albert Losken
1Emory Division of Plastic and Reconstructive Surgery, Atlanta, GA 30308, USA.
Annals of Plastic Surgery
|October 16, 2010
Summary
Severe radiation injuries from fluoroscopic procedures can cause non-healing wounds and pain. Surgical treatment involving tissue excision and flap coverage effectively resolves these challenging iatrogenic radiation injuries.
Area of Science:
- Medical Imaging
- Radiation Oncology
- Wound Healing
Background:
- Iatrogenic radiation injuries are known complications of radiation therapy.
- Such injuries can also occur during fluoroscopic procedures, presenting diagnostic challenges.
- These wounds are often misdiagnosed, causing patient and physician frustration.
Purpose of the Study:
- To review cases of severe radiation burns resulting from fluoroscopic procedures.
- To analyze the clinical presentation, treatment, and outcomes of these injuries.
- To highlight effective surgical management strategies for fluoroscopic radiation burns.
Main Methods:
- Review of 3 patient cases with severe fluoroscopic radiation burns.
- Analysis of fluoroscopy procedure details (number of procedures, total time).
- Documentation of clinical presentation, time to surgical intervention, and treatment outcomes.
Main Results:
- Patients experienced ulceration, non-healing wounds, and debilitating pain.
- Average fluoroscopy procedures: 2.7; average total time: 10 hours.
- Skin changes appeared at 2.3 weeks; surgical intervention averaged 19 months.
- All patients achieved immediate pain resolution and wound healing post-surgery.
Conclusions:
- Fluoroscopic radiation burns are challenging iatrogenic injuries.
- Effective treatment involves wide excision of affected tissue and vascularized flap coverage.
- Surgical intervention leads to prompt pain relief and stable wound healing.
Related Concept Videos
01:20Imaging Studies for Cardiovascular System III: X-Ray
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
01:17Ultrasonography
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called a...
During an ultrasonography procedure, a handheld device called a...
01:19Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
01:22Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:27Imaging Studies III: Computed Tomography
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
01:30Radiological Investigation I: X-ray and CT
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...