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[Chronic radiodermatitis after interventional cardiac catheterization. Four cases]

F Granel1, A Barbaud, M N Gillet-Terver

  • 1Service de Dermatologie, Hôpital Fournier, Nancy.

Annales De Dermatologie Et De Venereologie
|September 25, 1998
PubMed
Summary

Radiodermitis can occur after cardiac catheterization procedures like coronary angiography and angioplasty. Early diagnosis is key, though delayed onset can complicate identification of these radiation-induced skin injuries.

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Area of Science:

  • Cardiology
  • Radiology
  • Dermatology

Background:

  • Fluoroscopic and cineradiographic procedures, common in coronarography, expose patients to significant ionizing radiation doses.
  • Cardiac catheterization, particularly transluminal coronary angioplasty, carries a risk of radiation-induced skin injury (radiodermitis).

Observation:

  • Four cases of radiodermitis following cardiac catheterization are presented, involving ulcerations, necrosis, and telangiectasias.
  • These cases required surgical intervention, including skin grafting and flap reconstruction.
  • Literature review reveals additional reported cases, highlighting a persistent issue following coronary procedures.

Findings:

  • Transluminal coronary angioplasty increases irradiation exposure due to focused beams on stenosis and broader imaging for angiography.

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  • Diagnosis can be challenging due to a significant delay between the procedure and the onset of skin lesions.
  • The radiation dose to the skin during these cardiac procedures is often not measured, hindering accurate risk assessment.

    • Implications:

    • Increased awareness of radiodermitis is crucial for clinicians performing and managing patients undergoing cardiac catheterization.
    • Standardized radiation dose monitoring during these procedures should be considered to better assess and mitigate risks.
    • Further research into preventative strategies and improved diagnostic protocols for radiation-induced skin injuries is warranted.