Severe radiation-induced injury after cardiac catheter ablation: A case requiring free anterolateral thigh flap and vastus lateralis muscle flap reconstruction on the upper arm

被引：14

作者：

Hashimoto, Ichiro ^{[1
]}

Sedo, Hiromichi ^{[1
]}

Inatsugi, Kei ^{[1
]}

Nakanishi, Hideki ^{[1
]}

Arase, Seiji ^{[2
]}

机构：

[1] Univ Tokushima, Grad Sch, Inst Hlth Biosci, Dept Plast & Reconstruct Surg, Tokushima 7708503, Japan

[2] Univ Tokushima, Grad Sch, Inst Hlth Biosci, Dept Dermatol, Tokushima 7708503, Japan

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2008年 / 61卷 / 06期

关键词：

radiodermatitis; interventional fluoroscopy; composite flap; anterolateral thigh flap; vastus lateralis muscle flap;

D O I：

10.1016/j.bjps.2007.01.003

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Although cases of radiation-induced skin injury after fluoroscopically-guided procedures have been reported since 1996, diagnosis and treatment of such injury remain difficult. We present the case of a patient who complained of two ulcers, one on his right arm and one on his back, and limited motion of the right elbow joint after repeated cardiac radio-frequency catheter ablations. After resection of the skin ulcer on the patient's arm and of degenerated tissue in the distal. part of the triceps brachii muscle, a combined free flap incorporating an anterolateral thigh flap and vastus lateralis muscle flap was transplanted. In the present case, this combined flap was very useful for simultaneous reconstruction of the muscle and skin defects under and over the tendon because the muscle flap and skin flap could be arranged separately. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：704 / 708

页数：5

共 14 条

[1] Chronic radiodermatitis injury after cardiac catheterization [J].