Proposed preliminary diagnostic reference levels for three common interventional cardiology procedures in Ireland

Radiation Protection Dosimetry
C J D'HelftP C Brennan

Abstract

This study has gathered data across Ireland to determine the range of radiation doses received during interventional cardiology (IC) investigations. Radiation doses for three common types of IC examinations where investigated: coronary angiography (CA), percutaneous coronary intervention (PCI) and pacemaker insertions (PPI). A total of 22 cardiac imaging suites participated in the study. Radiation dose was monitored for 1804 adult patients using dose area product (DAP) meters. Individual patient DAP values ranged from 136-23,101 cGy cm2, 475-41,038 cGy cm2 and 45-17,192 cGy cm2 for CA, PCI and PPI respectively, with third quartile values of 4654 cGy cm2, 10,650 cGy cm2 and 1686 cGy cm2. The importance of optimising radiation dose, while not compromising diagnostic efficacy is clear. Although setting reference levels for these complex procedures has some difficulties, it is important that some guideline values are available as a benchmark to guide the operators during these potentially high dose procedures. The third quartile values as described by this paper may offer such guidance.

References

Nov 1, 1995·The British Journal of Radiology·E VañóE Guibelalde
Sep 6, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G BernardiP M Fioretti
Aug 8, 2001·Radiation Protection Dosimetry·E VañóJ F Malone
Aug 8, 2001·Radiation Protection Dosimetry·R PadovaniP M Fioretti
Oct 10, 2003·European Radiology·V NeofotistouK Faulkner
Jun 24, 2004·Journal of Interventional Cardiology·Ronald E VlietstraFred Mettler

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Citations

Oct 22, 2008·Cardiovascular and Interventional Radiology·Eliseo VanoJ Palmero
Apr 17, 2019·Radiation Protection Dosimetry·Jukka JärvinenMika Teräs
Apr 25, 2013·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·S L McFaddenRobert J Winder
Mar 14, 2013·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·S L McFaddenR J Winder

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