Radionecrosis induced by cardiac imaging procedures: a case study of a 66-year-old diabetic male with several comorbidities

J Invasive Cardiol. 2008 Aug;20(8):E233-6.

Abstract

Radionecrosis is a rare sequitur of cardiac catheterization and imaging procedures. A 66-year-old diabetic male with several comorbidities developed a scapular burn immediately after the last of 3 cardiac catheterization and stenting procedures conducted over a 3-year period. The burn subsequently developed into a large eschar that required extensive debridement, a prolonged treatment of hyperbaric oxygen therapy, and plastic surgery to heal. Wound healing was compromised by the patient's diabetes and a potentially long course of steroids prescribed for other medical problems. Primary clinicians should be aware of suspicious-looking wounds that develop subsequent to cardiac catheterizations, especially in diabetic patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary
  • Blood Vessel Prosthesis Implantation
  • Burns / etiology*
  • Cardiac Catheterization / adverse effects*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / therapy
  • Coronary Restenosis / therapy
  • Diabetes Mellitus, Type 2 / complications
  • Humans
  • Male
  • Myocardial Ischemia / complications
  • Radiation Injuries / complications*
  • Reoperation
  • Skin / pathology*