Chronic Radiodermatitis Following Percutaneous Coronary Interventions

經皮冠狀動脈血管介入術後之慢性放射皮膚炎

詹融怡(Jung-Yi Chan) ； 朱家諭(Chia-Yu Chu)

《中華皮膚科醫學雜誌》 22卷2期 (2004/06) Pp. 148-152

摘要

經皮冠狀動脈介入術後之慢性放射皮膚炎的發生率，隨著操作程序的次數及複雜度而增加。我們在此報告一例有三條心冠狀動脈血管疾病之病患，於四次困難又延長的經皮冠狀動脈介入術後產生慢性放射皮膚炎，其臨床特徵為一個界線清楚、萎縮的四角形斑塊，伴有斑駁的色素增加及色素減少區域和血管擴張。一般來說，皮膚病灶發生的時間不一，可能在術後數周即出現，但也可能長至十幾年，因此很難將皮膚病灶和之前的血管攝影或介入術聯想在一起。即使心導管術後出現放射傷害之風險很低，但其危險卻不應被忽略，尤其是接受複雜之經皮冠狀動脈介入術的病患。（中華皮誌22 : 148 一152 , 2004 )

並列摘要

The incidence of radiodermatitis after percutaneous coronary interventions is rising with the increasing number and complexity of these procedures. This is a case report of a male patient with 3- vessel coronary artery disease in whom chronic radiodermatitis developed following four difficult and prolonged coronary interventions. The skin eruption was characterized by a well-demarcated, atrophic, rectangular plaque presenting as mottled hyper-and hypopigmentation with telangiectasia. Generally, the skin lesions can appear several weeks to a decade after the procedure. The variable onset of these clinical features renders the association with previous angiographic procedures difficult. Even though the risk of radiation injury in most of the patients undergoing cardiac catheterization is low, the potential for radiodermatitis should not be ignored, especially in patients receiving interventional and complicated procedures. (Dermatol Sinica 22: 148-152, 2004)

並列關鍵字

Cardiac catheterization ； Chronic radiodermatitis ； Percutaneous coronary angioplasty ； Percutaneous coronary intervention, Radiation ； Radiation injury