Images in Clinical Medicine

Radiation Injury from a Fluoroscopic Procedure

Lesley Wong, M.D., and Jason Rehm, M.D.

N Engl J Med 2004; 350:e23June 17, 2004

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Article

A 52-year-old man underwent an ablative procedure for supraventricular arrhythmias, and a painful ulceration developed on the posterior surface of his right arm four months later. His arm had accidentally been positioned within the radiation field during the 10-hour procedure. The estimated dose of radiation was in the range of 1500 to 2000 cGy. After plastic surgery, the patient's ulceration healed, and his pain resolved. Soft-tissue injury can result from prolonged exposure to radiation during interventional fluoroscopic procedures. In contrast to injury from therapeutic irradiation, tissue injury sustained during fluoroscopy is often unrecognized or undertreated.

Lesley Wong, M.D.
Jason Rehm, M.D.
University of Tennessee College of Medicine, Chattanooga, TN 37403

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