Limits...
Patient radiation doses in interventional cardiology procedures.

Pantos I, Patatoukas G, Katritsis DG, Efstathopoulos E - Curr Cardiol Rev (2009)

Bottom Line: The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation.In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature.Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Athens Euroclinic, Athens, Greece.

ABSTRACT
Interventional cardiology procedures result in substantial patient radiation doses due to prolonged fluoroscopy time and radiographic exposure. The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation. Patient radiation dose in these procedures can be assessed either by measurements on a series of patients in real clinical practice or measurements using patient-equivalent phantoms. In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature. Published results indicate that patient radiation doses vary widely among the different interventional cardiology procedures but also among equivalent studies. Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated. Nevertheless, interventional cardiology procedures can subject patients to considerable radiation doses. Efforts to minimize patient exposure should always be undertaken.

No MeSH data available.


Related in: MedlinePlus

Mean fluoroscopy time, DAP and effective dose per type of intervention.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2803281&req=5

Figure 1: Mean fluoroscopy time, DAP and effective dose per type of intervention.

Mentions: Published results on dosimetry in IC are presented in Table 3. In order to calculate the mean of the reported average and median values for each IC procedures, the average and median value of each study was considered against the total number of patients included in the particular study. The total sample for each IC procedure and the sample used to calculate the mean values are also shown in Table 3. The range of values shown in the table is the entire range considering the range of values reported in each study. The mean fluoroscopy time, mean DAP and mean effective dose are graphically presented in Fig. (1). Mean cine frames and mean cine time per procedure are presented in Fig. (2) while mean peak skin dose and mean coronary dose are presented in Fig. (3).


Patient radiation doses in interventional cardiology procedures.

Pantos I, Patatoukas G, Katritsis DG, Efstathopoulos E - Curr Cardiol Rev (2009)

Mean fluoroscopy time, DAP and effective dose per type of intervention.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2803281&req=5

Figure 1: Mean fluoroscopy time, DAP and effective dose per type of intervention.
Mentions: Published results on dosimetry in IC are presented in Table 3. In order to calculate the mean of the reported average and median values for each IC procedures, the average and median value of each study was considered against the total number of patients included in the particular study. The total sample for each IC procedure and the sample used to calculate the mean values are also shown in Table 3. The range of values shown in the table is the entire range considering the range of values reported in each study. The mean fluoroscopy time, mean DAP and mean effective dose are graphically presented in Fig. (1). Mean cine frames and mean cine time per procedure are presented in Fig. (2) while mean peak skin dose and mean coronary dose are presented in Fig. (3).

Bottom Line: The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation.In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature.Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Athens Euroclinic, Athens, Greece.

ABSTRACT
Interventional cardiology procedures result in substantial patient radiation doses due to prolonged fluoroscopy time and radiographic exposure. The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation. Patient radiation dose in these procedures can be assessed either by measurements on a series of patients in real clinical practice or measurements using patient-equivalent phantoms. In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature. Published results indicate that patient radiation doses vary widely among the different interventional cardiology procedures but also among equivalent studies. Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated. Nevertheless, interventional cardiology procedures can subject patients to considerable radiation doses. Efforts to minimize patient exposure should always be undertaken.

No MeSH data available.


Related in: MedlinePlus