Evaluation of patient and staff exposure with state of the art X-ray technology in cardiac catheterization: A randomized controlled trial

Journal of Interventional Cardiology
Dimitri BuytaertKlaus Bacher

Abstract

Cardiac catheterization procedures result in high patient radiation exposure and corresponding staff doses are reported to be among the highest for medical staff. The purpose of current randomized controlled study was to quantify the potential radiation dose reduction for both patient and staff, enabled by recent X-ray technology. This technology is equipped with advanced image processing algorithms, real-time dose monitoring, and an acquisition chain optimized for cardiac catheterization applications. A total of 122 adult patients were randomly assigned to one of two cath labs, either the reference X-ray modality (Allura Xper FD10, Philips Healthcare, the Netherlands) or the new X-ray system (AlluraClarity FD20/10 Philips Healthcare, the Netherlands). Exposure parameters and staff dosimeter readings were recorded for each exposure. Technical measurements were performed to define the radiation scatter behavior. With the newer equipment, patient radiation dose is reduced (as total dose-area product) by 67% based on geometric means with 95%CI of 53%, 77% for diagnostic and interventional procedures. The C-arm and leg dosimeter readings were both reduced with 65% (P < 0.001), while for the collar and chest dosimeter readings no st...Continue Reading

References

Apr 1, 1997·Catheterization and Cardiovascular Diagnosis·M ZorzettoA Fontanelli
Oct 6, 1997·Health Physics·L E WatsonP D Bourland
Apr 9, 1999·The British Journal of Radiology·E VañóJ I Ten
Oct 7, 2004·Journal of the American College of Cardiology·Eberhard KuonMichael Wucherer
Dec 7, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Helmut W Lange, Heiner von Boetticher
Sep 12, 2007·Circulation·Andrew J EinsteinMilena J Henzlova
Jul 14, 2010·Journal of the American College of Cardiology·Jersey ChenBrahmajee K Nallamothu
Aug 10, 2010·Cardiovascular and Interventional Radiology·Roberto SanchezJ J Gallego
Mar 26, 2011·JACC. Cardiovascular Interventions·Charles E Chambers
May 5, 2012·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·D G SuttonJ R Williams
Jul 31, 2013·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·V SandblomC Lundh
May 6, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hein HeidbuchelFrancisco Femenia
Dec 3, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·M C MüllerC Burger
Mar 11, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Liesbeth ElootKlaus Bacher
Sep 16, 2015·Journal of Vascular and Interventional Radiology : JVIR·Christina HeilmaierDominik Weishaupt
Nov 6, 2015·The British Journal of Radiology·Ruth M NicolChristopher J Koller
Apr 14, 2016·Circulation. Cardiovascular Interventions·Maria Grazia AndreassiEugenio Picano
Oct 22, 2017·Circulation·Tamer El-SayedUNKNOWN Guy’s and St Thomas’ Cardiovascular Research Collaborative

❮ Previous
Next ❯

Citations

Jul 2, 2020·Journal of the American Heart Association·Dimitri BuytaertKlaus Bacher
Nov 13, 2020·The British Journal of Radiology·Roberto M SanchezJose M Fernández
Sep 21, 2021·The British Journal of Radiology·Amy R SharkeyVicky Goh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.