Long-term development of radiation exposure, fluoroscopy time and contrast media use in daily routine in cryoballoon ablations after implementation of intracardiac echocardiography and other radioprotective measures: experiences from a large single-centre cohort
| Autor: | Thomas Fischbach, Dieter Horstkotte, Georg Nölker, Vanessa Rubesch-Kütemeyer, Britta Körber, Klaus-Jürgen Gutleben, D Guckel |
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| Rok vydání: | 2019 |
| Předmět: |
Radiofrequency ablation
media_common.quotation_subject medicine.medical_treatment Contrast Media 030204 cardiovascular system & hematology Cryosurgery law.invention 03 medical and health sciences 0302 clinical medicine law Physiology (medical) Atrial Fibrillation medicine Humans Contrast (vision) Fluoroscopy 030212 general & internal medicine Retrospective Studies media_common medicine.diagnostic_test business.industry Cryoablation Atrial fibrillation Radiation Exposure medicine.disease Treatment Outcome Echocardiography Pulmonary Veins Dose area product Cohort Catheter Ablation Radiation protection Cardiology and Cardiovascular Medicine Nuclear medicine business |
| Zdroj: | Journal of Interventional Cardiac Electrophysiology. 58:169-175 |
| ISSN: | 1572-8595 1383-875X |
| DOI: | 10.1007/s10840-019-00564-5 |
| Popis: | The concern of higher radiation exposure during cryoballoon ablation (CBA) compared with radiofrequency ablation for atrial fibrillation (AF) was raised before. Previously, we compared CBA plus intracardiac echocardiography (ICE) to our former standard approach without ICE. A substantial reduction of radiation exposure without compromising safety or outcome was observed. We now investigate if at all and possibly to which amount radiation reduction can be achieved with growing experience. We retrospectively analysed procedure time, dose area product (DAP), fluoroscopy time (FT) and contrast media (CM) use for all patients receiving CBA between 2013 and 2017 for AF. In 1131 procedures, procedure time decreased significantly between 2013 and 2017 (2013 111 ± 26 min, 2017 99 ± 25 min, p = 0.005). DAP halved between 2013 and 2014 without further significant decline (2013 1428 ± 1276 cGycm2, 2014 725 ± 551 cGycm2, p |
| Databáze: | OpenAIRE |
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