Fluoroscopy pulse rate reduction during diagnostic and therapeutic imaging in the cardiac catheterization laboratory: An evaluation of radiation dose, procedure complications and outcomes
| Autor: | Torrey Schmidt, Andrew Foy, Mehrdad Ghahramani, Charles E. Chambers, James W. Hansen |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine 030204 cardiovascular system & hematology Diagnostic catheterization 03 medical and health sciences Kerma 0302 clinical medicine Pulse rate Conventional PCI medicine Fluoroscopy Radiology Nuclear Medicine and imaging 030212 general & internal medicine Radiology Cardiology and Cardiovascular Medicine business Mace Cardiac catheterization |
| Zdroj: | Catheterization and Cardiovascular Interventions. 89:665-670 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.26555 |
| Popis: | Objectives To evaluate radiation reduction by reducing fluoroscopy pulse rate in diagnostic cardiac catheterizations and percutaneous coronary interventions (PCI) as well as outcomes at 30 days and six months. Background Radiation exposure to the public at large has increased dramatically over the past three decades, and the cardiac catheterization laboratory is a large contributor. Fluoroscopy pulse rate is one way to decrease radiation exposure. Methods Fluoroscopy pulse rate was reduced from 10 pulses/sec (p/s) to 7.5 p/s as part of an internal quality improvement project. A retrospective analysis of all cardiac catheterizations was performed, evaluating Air KERMA at the interventional reference point (Ka, r), Air KERMA area product (PKA), procedural complications and major adverse cardiac events at 30 days and 6 months. Results In diagnostic catheterization median PKA (µGy·m2) and Ka,r (mGy) were significantly reduced (PKA – 5,613.3 vs. 4,400, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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