scholarly journals Radiation Exposure in Cardiac Catheterization

Author(s):  
Taisei Kobayashi ◽  
John W. Hirshfeld
10.37206/11 ◽  
1984 ◽  
Author(s):  
Stephen Balter ◽  
Cari Borras ◽  
Pei-Jan Paul Lin ◽  
Robert J. Moore ◽  
William E. Moore ◽  
...  

Author(s):  
Thomas T Tsai ◽  
Lauren Pointer ◽  
Michael P Ho ◽  
Reza Fazel ◽  
Brahmajee K Nallamothu ◽  
...  

Background: Radiation exposure to Veterans from invasive cardiac procedures is high and accounts for a substantial proportion of their overall exposure from medical imaging. The patient, provider and hospital factors associated with increased fluoroscopy time are unclear. Methods: From the National VA CART program database of catheterization laboratories, we evaluated the distribution of fluoroscopy time in patients undergoing coronary angiography (CA), bypass graft angiography (BGA) and/or PCI. Using multivariable logistic regression, we evaluated the patient, provider and hospital factors associated with the highest quartile of fluoroscopy time. Results: We examined 87,658 CA, BGA and PCI procedures performed by 362 operators at 58 VA facilities from 2007 through 2010. There is wide variation in fluoroscopy time by operator regardless of procedure performed (Table 1). Multiple patient, provider and hospital factors were associated with fluoroscopy times in the highest quartile. Patient factors included age and a history of peripheral arterial disease; provider factors included operator volume and experience; and hospital factors included whether or not they were associated with a teaching program. Conclusion: In a large VA national registry of all cardiac catheterization procedures, fluoroscopy time is highly variable and dependent on multiple factors, many of which may be modifiable. Quality improvement programs targeted at modifiable behaviors may lead to decreased fluoroscopy times and thus radiation exposure for our veterans.


2019 ◽  
Vol 95 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Carmelo J. Panetta ◽  
Erin M. Galbraith ◽  
Marat Yanavitski ◽  
Patrick K. Koller ◽  
Binita Shah ◽  
...  

Circulation ◽  
1978 ◽  
Vol 58 (6) ◽  
pp. 1213-1213 ◽  
Author(s):  
R E Falicov

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Andrew Ertel ◽  
Jeffrey Nadelson ◽  
Adhir R. Shroff ◽  
Ranya Sweis ◽  
Dean Ferrera ◽  
...  

Objectives. Radiation scatter protection shield drapes have been designed with the goal of decreasing radiation dose to the operators during transfemoral catheterization. We sought to investigate the impact on operator radiation exposure of various shielding drapes specifically designed for the radial approach. Background. Radial access for cardiac catheterization has increased due to improved patient comfort and decreased bleeding complications. There are concerns for increased radiation exposure to patients and operators. Methods. Radiation doses to a simulated operator were measured with a RadCal Dosimeter in the cardiac catheterization laboratory. The mock patient was a 97.5 kg fission product phantom. Three lead-free drape designs were studied. The drapes were placed just proximal to the right wrist and extended medially to phantom’s trunk. Simulated diagnostic coronary angiography included 6 minutes of fluoroscopy time and 32 seconds of cineangiography time at 4 standard angulated views (8 s each), both 15 frames/s. ANOVA with Bonferroni correction was used for statistical analysis. Results. All drape designs led to substantial reductions in operator radiation exposure compared to control (P<0.0001). The greatest decrease in radiation exposure (72%) was with the L-shaped design. Conclusions. Dedicated radial shielding drapes decrease radiation exposure to the operator by up to 72% during simulated cardiac catheterization.


2011 ◽  
Vol 67 (5) ◽  
pp. 507-516 ◽  
Author(s):  
Michio Ozaki ◽  
Toshio Take ◽  
Shinichiro Sumi ◽  
Hiroaki Ando ◽  
Yasuo Nakazawa

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