Where is the most common location of fluoroscopy-associated radiation dermatitis following cardiac procedures?

The most common location of fluoroscopy-associated radiation dermatitis following cardiac procedures is in the scapular and subscapular areas. During these procedures, clinicians typically maintain a position close to the patient and the radiation source for prolonged periods. This positioning results in these areas of the body being exposed to higher doses of radiation, leading to skin reactions such as dermatitis.

The scapular and subscapular regions are particularly susceptible due to their proximity to the X-ray beam during fluoroscopy. As healthcare professionals often lean over patients during cardiac interventions, it places these body areas in the direct path of scattered radiation. Over time, repeated exposure can accumulate and contribute to the development of radiation-induced skin damage, which is more pronounced in regions where the skin may be thinner or less covered.

Understanding this can help in implementing better protective strategies, such as using lead aprons more effectively or optimizing fluoroscopy times, ultimately reducing the risk of radiation dermatitis in these high-exposure areas.