Editor's Choice – Comprehensive Literature Review of Radiation Levels During Endovascular Aortic Repair in Cathlabs and Operating Theatres
| Autor: | Adrien Hertault, Hovan Chenorhokian, Francine Laurent-Daniel, Nabil Chakfe, Anne Lejay, Aurélia Bianchini, Sébastien Amiot |
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| Rok vydání: | 2020 |
| Předmět: |
Operating Rooms
medicine.medical_specialty Operating theatres MEDLINE 030204 cardiovascular system & hematology 030230 surgery Radiation Dosage Radiography Interventional Aortic repair Risk Assessment 03 medical and health sciences Radiation Protection 0302 clinical medicine Risk Factors Occupational Exposure medicine Humans Scattering Radiation Medical physics Aorta Abdominal Occupational Health business.industry Endovascular Procedures Radiation Exposure Vascular surgery Imaging equipment Imaging technology Surgery Occupational exposure Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 60:374-385 |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/j.ejvs.2020.05.036 |
| Popis: | Objective Occupational exposure is a growing concern among the endovascular specialist community. Several types of imaging equipment are available, such as mobile C arms or hybrid rooms, and some have been shown to deliver higher levels of radiation. A literature review was conducted to identify studies reporting dose data during standard (EVAR) and complex abdominal aortic endovascular repair (fenestrated/branched EVAR [F/BEVAR]). Methods A search of the MEDLINE and the Cochrane databases was performed by two independent investigators using the medical subject heading terms “aortic aneurysms”, “radiation”, and “humans” over a search period of 10 years. Studies with full text available in English and reporting radiation data independently from the imaging equipment type were included. Experimental studies were excluded. Results The lowest dose–area product levels during EVAR and F/BEVAR were identified in hybrid rooms, while the highest were with fixed systems. When adherence to the as low as reasonably achievable principles was stipulated by the authors, dose reports tended to be among the lowest. Several studies, especially of F/BEVAR, report concerning levels of radiation for both patients and staff. Conclusion Modern imaging equipment type, team involvement with radiation management, and the support of recent imaging technologies such as fusion help to reduce the dose delivered during standard and complex EVAR. Investment in modern imaging technology should be considered in every centre providing endovascular management of aortic aneurysms. |
| Databáze: | OpenAIRE |
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