Chronic radiodermatitis following cardiac catheterization

Daniel A. Lichtenstein, Laurent Klapholz, Daniel A. Vardy, Israel Leichter, Maurice Mosseri, Sydney N. Klaus, Leon T. Gilead

Research output: Contribution to journalArticlepeer-review

127 Scopus citations


Background: Fluoroscopy and cineradiography used during coronary angiography expose patients to some of the highest doses of ionizing radiation in diagnostic radiology. The possibility of radiation-induced damage has been discussed by several authors in the past. However, to the best of our knowledge, chronic radiation dermatitis caused by exposure to x- rays during cardiac catheterization has not been described. Observation: We describe 4 patients in whom chronic radiodermatitis developed following multiple cardiac catheterizations and coronary angioplasties. The cumulative radiation doses to which these patients were exposed were retrospectively calculated to be a mean of 24.6 Gy per patient, with a range of 11.4 to 34.9 Gy. Conclusions: Chronic radiodermatitis is a threat in patients undergoing multiple cardiac catheterizations and angioplasties. In susceptible patients, radiation doses as small as 11.4 Gy, which can sometimes be emitted during 1 or 2 procedures, are potentially harmful. Awareness and protective measures against this long-term side effect of cardiac catheterization should be encouraged.

Original languageEnglish
Pages (from-to)663-667
Number of pages5
JournalArchives of Dermatology
Issue number6
StatePublished - 1 Jun 1996
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology


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