Radiation skin injury caused by percutaneous coronary intervention, report of 3 cases

Srimahachota, Suphot; Udayachalerm, Wasan; Kupharang, Thupkaew; Sukwijit, Kanjana; Krisanachinda, Anchali; Rehani, Madan M.

doi:10.1016/j.ijcard.2011.05.016

Cited by 15 publications

(6 citation statements)

References 11 publications

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“…High doses in interventional procedures are common but the focus has been on tissue reactions and injuries, as injuries have continued to be reported ever since the early 1990 ′ s [3,[41][42][43][44]. There are well established guidelines by various organizations to avoid injuries [40,[45][46][47][48] including action before, during and after the procedure.…”

Section: High Doses In Interventional Proceduresmentioning

confidence: 99%

Higher patient doses through X-ray imaging procedures

Rehani

Nacouzi

2020

Physica Medica

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Medical imaging using X-rays has been one of the most popular imaging modalities ever since the discovery of Xrays 125 years ago. With unquestionable benefits, concerns about radiation risks have frequently been raised. Computed tomography (CT) and fluoroscopic guided interventional procedures have the potential to impart higher radiation exposure to patients than radiographic examinations. Despite technological advances, there have been instances of increased doses per procedure mainly because of better diagnostic information in images. However, cumulative dose from multiple procedures is creating new concerns as effective doses >100 mSv are not uncommon. There is a need for action at all levels. Manufacturers must produce equipment that can provide a quality diagnostic image at substantially lesser dose and better implementation of optimization strategies by users. There is an urgent need for the industry to develop CT scanners with sub-mSv radiation dose, a goal that has been lingering. It appears that a new monochromatic X-ray source will lead to replacement of X-ray tubes all over the world in coming years and will lead to a drastic reduction in radiation doses. This innovation will impact all X-ray imaging and will help dose reduction. For interventional procedures, the likely employment of robotic systems in practice may drastically reduce radiation exposures to operators-but patient exposure will still remain an issue. Training needs always need to be emphasized and practiced.

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Section: High Doses In Interventional Proceduresmentioning

confidence: 99%

Higher patient doses through X-ray imaging procedures

Rehani

Nacouzi

2020

Physica Medica

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“…CTO PCI, typically due to longer time involved, is one of the predictors of increased radiation dose [ 7 , 8 ]. The injury can lead to severe consequences for the patient, including skin injury [ 9 ] (see Fig. 1 ).…”

Section: Complications Related To Cto Pci –mentioning

confidence: 99%

Complications of Recanalization of Chronic Total Occlusion

Kalyanasundaram¹,

Lombardi

2015

CCR

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Percutaneous Coronary Intervention (PCI) of Chronic Total Occlusions (CTO) is an accepted revascularization procedure. These complex procedures carry with them certain risks and potential complications. Complications of PCI such as contrast induced renal dysfunction, radiation, etc, assume more relevance given the length and complexity of these procedures. Further, certain complications such as donor vessel injury, foreign body entrapment are unique to CTO PCI. A thorough understanding of the potential complications is important in mitigating risk during these complex procedures.

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“…Exposures of patients exceeding 100 mSv effective dose were extremely rare in medical imaging until the introduction of multislice CT and fluoroscopically guided interventions (FGI). Thus, CT and FGI are of major concern regarding radiation safety in medical imaging [3–6]. CT and fluoroscopy account for approximately 10% of all imaging procedures, but contribute approximately 80% to the mean collective dose.…”

Section: Introductionmentioning

confidence: 99%

Radiation-Induced Skin Injuries to Patients: What the Interventional Radiologist Needs to Know

Jaschke

Schmuth

Trianni

et al. 2017

Cardiovasc Intervent Radiol

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For a long time, radiation-induced skin injuries were only encountered in patients undergoing radiation therapy. In diagnostic radiology, radiation exposures of patients causing skin injuries were extremely rare. The introduction of fast multislice CT scanners and fluoroscopically guided interventions (FGI) changed the situation. Both methods carry the risk of excessive high doses to the skin of patients resulting in skin injuries. In the early nineties, several reports of epilation and skin injuries following CT brain perfusion studies were published. During the same time, several papers reported skin injuries following FGI, especially after percutaneous coronary interventions and neuroembolisations. Thus, CT and FGI are of major concern regarding radiation safety since both methods can apply doses to patients exceeding 5 Gy (National Council on Radiation Protection and Measurements threshold for substantial radiation dose level). This paper reviews the problem of skin injuries observed after FGI. Also, some practical advices are given how to effectively avoid skin injuries. In addition, guidelines are discussed how to deal with patients who were exposed to a potentially dangerous radiation skin dose during medically justified interventional procedures.

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Radiation skin injury caused by percutaneous coronary intervention, report of 3 cases

Cited by 15 publications

References 11 publications

Higher patient doses through X-ray imaging procedures

Higher patient doses through X-ray imaging procedures

Complications of Recanalization of Chronic Total Occlusion

Radiation-Induced Skin Injuries to Patients: What the Interventional Radiologist Needs to Know

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