Dose-reducing fluoroscopic system decreases patient but not occupational radiation exposure in chronic total occlusion intervention
| Autor: | Pablo Salinas, Nieves Gonzalo, Carlos H. Salazar, Hernán Mejía-Rentería, Roberto M. Sanchez-Casanueva, Antonio Fernández-Ortiz, Luis Nombela-Franco, Eliseo Vano, Pilar Jiménez-Quevedo, Jorge A Gil, Iván J. Núñez-Gil, Javier Escaned, Jose M Fernandez-Soto |
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| Rok vydání: | 2020 |
| Předmět: |
Percutaneous
medicine.medical_treatment 030204 cardiovascular system & hematology Coronary Angiography Radiation Dosage Radiography Interventional Total occlusion 03 medical and health sciences Kerma 0302 clinical medicine Percutaneous Coronary Intervention Risk Factors Occupational Exposure medicine Dosimetry Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine business.industry Percutaneous coronary intervention General Medicine Radiation Exposure Radiation exposure Treatment Outcome Coronary Occlusion Dose area product Radiological weapon Fluoroscopy Cardiology and Cardiovascular Medicine Nuclear medicine business |
| Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventionsREFERENCES. 98(5) |
| ISSN: | 1522-726X |
| Popis: | AIMS Several novel low-dose fluoroscopic systems (LDS) developed recently, but real practice information of the net benefit for the patient and professionals is scarce. We evaluated separately patient and operator radiation exposure during percutaneous interventions of chronic total occlusions (CTO). METHODS A total of 116 consecutive CTOs were analyzed (60 in LDS and 56 in standard-dose fluoroscopic system [SDS]). Digital dosimetry of patient and occupational (operator and scatter dose) exposure was prospectively recorded. RESULTS Biometrics, demographics, CTO variables, and operators were distributed evenly. Patient radiation exposure was effectively decreased in LDS (dose area product [DAP] by 36%, Air Kerma [AK] by 47%). However, occupational data showed no statistical differences between LDS and SDS. The LDS uses less radiation amount but with higher energy (due to additional filtration) compared to SDS, therefore increasing the scatter dose. When comparing the C-arm scatter dose to the DAP we found higher scatter dose with the LDS (0.0139 mSv/gray (Gy)*cm2 vs. 0.0082 mSv/Gy*cm2, p |
| Databáze: | OpenAIRE |
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