scholarly journals Methods and techniques Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention

2014 ◽  
Vol 4 ◽  
pp. 308-313
Author(s):  
Salech Arif ◽  
Stanislaw Bartus ◽  
Tomasz Rakowski ◽  
Beata Bobrowska ◽  
Joanna Rutka ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radiation Dose ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Methods And Techniques ◽  
Radiation Dose Exposure

AN ASSESSMENT OF RADIATION EXPOSURE DOSES IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION BASED ON ANGIOGRAPHIC RECORDS

2018 ◽  
Vol 183 (4) ◽  
pp. 475-482 ◽  
Author(s):  
M Maghbool ◽  
M A Hosseini
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radiation Dose ◽  
Primary Percutaneous Coronary Intervention ◽  
Standard Dose ◽  
Coronary Intervention ◽  
Skin Dose ◽  
Dose Area Product ◽  
Percutaneous Coronary ◽  
Using Data ◽  
Area Product

Abstract The stochastic and non-stochastic (deterministic) effects of radiation dose in patients undergoing primary percutaneous coronary intervention (PPCI) have been investigated using data recorded by an angiographic monitoring system. A total of 132 patients with acute myocardial infarction referred to the angiography department of Vali-Asr hospital, Fasa, Iran, during the second half of 2016 were recruited. Quantities like dose–area product (DAP), total air kerma (Ka,r) and fluoroscopy time (FT) were calculated and converted into effective dose (ED) and peak skin dose (PSD). The values for Ka,r, DAP and FT equaled 80 399.20 ± 63 312 mGy cm2, 1392.80 ± 1155.373 mGy and 524.11 ± 423.057 s, respectively, which were within the ranges reported in previous studies. After considering standard dose thresholds for Ka,r and PSD, it was revealed that only a small portion of patients had reached these thresholds and exceeded them (<3%). Moreover, ED < 20 mSv for the majority of patients was fairly consistent with results from a recent research in eight Belgian hospitals. It was shown that angiographic records are reliable for assessing radiation dose in patients.

scholarly journals Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Kfier Kuba ◽  
Diana Wolfe ◽  
Alan H. Schoenfeld ◽  
Anna E. Bortnick
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Radiation Dose ◽  
Absorbed Dose ◽  
Coronary Intervention ◽  
Cardiac Procedures ◽  
Percutaneous Coronary ◽  
St Elevation ◽  
Absorbed Radiation Dose ◽  
In Pregnancy

There is a gap in the literature regarding fetal radiation exposure from interventional cardiac procedures. With an increasingly large and complex cohort of pregnant cardiac patients, it is necessary to evaluate the safety of invasive cardiac procedures and interventions in this population. Here we present a case of a patient with multiple medical comorbidities and non-ST elevation myocardial infarction (NSTEMI) at 15 weeks’ gestation, managed with percutaneous coronary intervention (PCI). We were able to minimize the maternal and estimated fetal absorbed radiation dose to <1 milliGray (mGy), significantly less than the threshold dose for fetal adverse effects at this gestational age.

Factors That Influence Radiation Dose in Percutaneous Coronary Intervention

2006 ◽  
Vol 19 (3) ◽  
pp. 237-244 ◽  
Author(s):  
VIRGINIA TSAPAKI ◽  
ATHANASSIOS MAGGINAS ◽  
ELISEO VANO ◽  
SOPHIA KOTTOU ◽  
EMMANOUIL PAPADAKIS ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radiation Dose ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals High Incidence of Cataracts in the Follow-Up of Patients Undergoing Percutaneous Coronary Intervention for Chronic Coronary Total Occlusion

2021 ◽  
Vol 10 (21) ◽  
pp. 5002
Author(s):  
Ricardo Rivera-López ◽  
Celia García-López ◽  
José M. Sánchez-Moreno ◽  
Rafael A. Rivera-López ◽  
Julio Almansa-López ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radiation Dose ◽  
Cox Regression ◽  
Coronary Intervention ◽  
Total Occlusion ◽  
Study Objective ◽  
Percutaneous Coronary ◽  
Cataract Development ◽  
Cardiac Catheterizations

Development of cataracts is a well-known adverse effect of ionizing radiation, but little information is available on their incidence in patients after other medical procedures, such as cardiac catheterizations. The study objective was to determine the incidence of cataracts in a cohort of patients undergoing percutaneous coronary intervention (PCI) for chronic coronary total occlusion (CTO) and its association with radiation dose. The study analyzed the incidence of cataracts during the follow-up of 126 patients who underwent chronic total coronary PCI, using Cox regression to identify predictive factors of cataract development. The study included 126 patients, 86.9% male, with a mean age of 60.5 years (range, 55.0–68.0 years). Twenty-three (18.2% n = 23) developed cataracts during a mean follow-up of 49.5 months (range 37.3–64.5 months). A higher incidence was observed in patients who received more than 5 Gy (29.0% vs. 14.7%, Hazard ratio (HR = 2.84 [1.19–6.77]). Multivariate analysis revealed a relationship between cataract development during the follow-up and a receipt of radiation dose >5 Gy (HR = 2.60, 95% confidence interval [CI 1.03–6.61]; p = 0.03), presence or history of predisposing eye disease (HR = 4.42, CI:1.57–12.40), diabetes (HR = 3.33 [1.22–9.24]), and older age, as in >57 (HR, 6.40 [1.81–22.61]). An elevated incidence of cataracts was observed in patients after PCI for CTO. The onset of cataracts is related to the radiation dose during catheterization, which is a potentially avoidable effect of which operators should be aware.

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