AlluraClarity Radiation Dose-Reduction Technology in the Hybrid Operating Room During Endovascular Aneurysm Repair

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Quirina M B de RuiterJoost A van Herwaarden

Abstract

To evaluate the effect of radiation dose reduction with the Allura ClarityIQ image processing technology for fixed C-arms in comparison with a mobile C-arm and an Allura fixed C-arm without ClarityIQ technology during endovascular aneurysm repair (EVAR) procedures. Radiation dose data from 85 patients (mean age 74.2±7.8 years; 68 men) undergoing EVAR with mobile and fixed C-arm fluoroscopy were retrospectively analyzed. The radiation dose parameters included the kerma area product (KAP), fluoroscopic time (FT), and number of digital subtraction angiography (DSA) frames (FrDSA). KAPtotal consisted of KAPfluoro (KAP for fluoroscopic imaging) and KAPDSA (KAP for DSA and single shots). Linear regression analysis was used to explore differences in the association of KAP with the FT, FrDSA, and body mass index (BMI) among the 3 C-arms. The mean KAPtotal values for mobile, Allura C-arm, and AlluraClarity C-arm for noncomplex EVARs were 56±39, 245±142, and 157±120 Gy·cm(2) (p<0.001); for complex EVARs, the values were 110±43, 874±653, and 598±319 Gy·cm(2) (p<0.001), respectively. On average, KAPfluoro tripled when the mobile C-arm was replaced by the fixed C-arm. There were no significant differences in the KAPfluoro adjusted for the F...Continue Reading

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Citations

Sep 10, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Quirina M B de RuiterJoost A van Herwaarden
Apr 11, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Quirina M de RuiterJoost A van Herwaarden
Sep 20, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Zhonghua Sun, Curtise K C Ng
Nov 23, 2017·Vascular and Endovascular Surgery·Lars StangenbergMarc L Schermerhorn
Jun 15, 2018·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·A AlménM Båth
Jul 21, 2020·Cardiovascular and Interventional Radiology·Bart DoyenUNKNOWN On behalf of: PRET (Principles of Radiation protection within Endovascular Team) group
Dec 25, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Fiona RohlffsTilo Kölbel
Feb 25, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Francisco Álvarez Marcos
Apr 15, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Quirina M B de RuiterJoost A van Herwaarden
Jul 7, 2021·Radiation Protection Dosimetry·Fotios O EfthymiouGeorge S Panayiotakis
Jul 20, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Adrien HertaultAnne Lejay
Sep 12, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Rodrigo RialMercedes Guerra Requena

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Methods Mentioned

BETA
X-ray

Software Mentioned

AlluraClarity
R
Allura
ClarityIQ

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