Surgery treatment for early radiation ulcer developed after endovascular intervention

«Radiation and Risk», 2020, vol. 29, No. 4, pp.158-163

DOI: 10.21870/0131-3878-2020-29-4-158-163

Authors

Pasov V.V. – Leading Researcher, MD. Contacts: 4 Korolyov str., Obninsk, Kaluga region, Russia, 249035. Tel.: + 7 (484) 399-30-36; e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. .
Korotkov V.A. – Head of Dep. A. Tsyb MRRC.

A. Tsyb MRRC, Obninsk

Abstract

Delayed radiation damage to soft tissue and its treatment are described in detail. In the majority of cases the development of late radiation injuries were resulted from the radiation therapy of cancer. Early radiation injuries rarely occur. Most of early radiation-induced pathologic changes result from occupational radiation exposure or violation of radiation safety regulations. Nowadays we witness widespread clinical use of endovascular interventions, that can last for many hours. Concurrently, publications of research groups reported on complications in patients underwent endovascular procedures have appeared. The reported complications can be a result of increas-ing radiation dose to normal tissue over dose tolerance limits. The article presents a case of the successful treatment of early radiation ulcer on the left shoulder blade developed as a result of coronography followed by transluminal balloon angioplasty and stenting of the ramus interven-tricularis anterior (RIVA). Fibrotic tissue and radiation ulcer were excised en bloc with a cuff of healthy tissue followed by single-stage plasty with interpolated thoracodorsal musculocutaneous flap. Due to the given treatment we managed to restore the patient’s health status and improve his quality of life.

Key words
coronary artery, balloon angioplasty, stenting, complications, local radiation damage, early radiation ulcer, surgery, skin-muscle thoracodorsal flap.

References

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Full-text article (in Russian)