Reduced radiation fluoroscopy technique for implantation of sacral neuromodulation
| Autor: | Andrea Staack, Forrest Jellison, Mark Dickinson, D. Duane Baldwin, Junchan Joshua Yune, Reihaneh Moghisi, Akin S. Amasyali, Hillary Wagner, Jason Groegler, Mohammad Hajiha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urinary urgency medicine.diagnostic_test business.industry Urology 030232 urology & nephrology Treatment options Fluoroscopy technique 03 medical and health sciences 0302 clinical medicine Sacral nerve stimulation 030220 oncology & carcinogenesis Medicine Fecal incontinence Fluoroscopy Surgery Radiology medicine.symptom business Fluoroscopic imaging |
| Zdroj: | Journal of Clinical Urology. 15:244-250 |
| ISSN: | 2051-4166 2051-4158 |
| DOI: | 10.1177/20514158211002964 |
| Popis: | Introduction: Sacral neuromodulation (SNM) is a Food and Drug Administration–approved treatment option for urinary urgency and fecal incontinence. Fluoroscopic imaging is used at various steps during lead placement, which exposes the operating room staff and patient to the harmful effects of radiation. The aim of this study is to describe a reduced radiation technique during lead placement for treatment with SNM. Methods: A retrospective cohort of 51 consecutive patients who underwent lead insertion and SNM placement at a single academic institution were investigated. Reduced fluoroscopy (RF; n=11) involved C-arm settings to 1 pulse/second and an activated “low-dose” setting, while conventional fluoroscopy (CF; n=40) involved 30 pulses/second and a deactivated “low-dose” setting. The automatic brightness control and collimation were used optionally in both groups. Comparison of imaging quality, fluoroscopy settings, and radiation exposure during RF and CF was performed. Results: RF settings resulted in significant reduction of radiation compared to CF settings, including the fluoroscopy time (8.61 vs. 48.16 seconds; pConclusions: Lead placement for treatment with SNM can be achieved using RF settings without compromising clinical outcomes. Applying the RF technique reduces overall radiation exposure to the patient and the operating room staff. Further validation of RF in a larger prospective cohort study is needed. Level of evidence: Level 4. |
| Databáze: | OpenAIRE |
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