Banaag Liza De Olazo, Carter Marissa J
Center for Wound Care and Hyperbaric Medicine at Grenada Lake Medical Center, 965 J. K. Avent Drive, Suite 100-A, Grenada, MS 38901, USA.
J Invasive Cardiol. 2008 Aug;20(8):E233-6.
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.
放射性坏死是心脏导管插入术和成像检查后的一种罕见后遗症。一名患有多种合并症的66岁糖尿病男性，在3年期间进行的3次心脏导管插入术和支架置入术的最后一次术后，立即出现了肩胛骨烧伤。随后，烧伤发展成一个大面积焦痂，需要进行广泛清创、长时间的高压氧治疗以及整形手术才能愈合。患者的糖尿病以及因其他医疗问题开具的可能疗程较长的类固醇药物，都影响了伤口愈合。初级临床医生应警惕心脏导管插入术后出现的可疑伤口，尤其是糖尿病患者。
