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Abstract:

Endovascular interventions operations of coronary arteries are a long-term and fast-developing branch of surgical treatment of ischemic disease. Radiational skin damage is a rare and grave complication caused by endovascular interventions operations. The risk factors for this disorder are diabetes, disorders of conjunctive tissue and obesity. Complicated anatomy of coronary vessels prolonges the surgical intrusion, thus increasing the impact of radiation. Radiated areas are treated by excision of diseased soft tissues. Afterwards the defect is covered with vascularised scraps. Three patients suffering radiation sores on the back were examined during the research. They were diseased with chronical coronar occlusions, and one of the patients had the reocclusion inside the previously implanted stent. All individuals were overweight and required more strickt radiation than usual to obtain accurate images. That is why a precise control over the dosage of radiation is crucial. If radiation damage is developing, an active surgery is an effective treatment that must be applied.

 

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