Radiation Exposure during Percutaneous Transluminal Angioplasty for Symptomatic Peripheral Arterial Disease

Annals of Vascular Surgery
Tim A SigtermanLee H Bouwman

Abstract

Endovascular interventions often are the preferred treatment in peripheral arterial disease for both intermittent claudication and chronic critical limb ischemia. Ever more advanced and anatomically complex procedures are being performed, which may increase the radiation exposure of patients and medical staff. We sought to determine the radiation exposure sustained in contemporary interventional radiology practice. A single-center observational cohort study of patients undergoing endovascular interventions for symptomatic peripheral arterial disease between January 1st, 2011 and July 31st, 2013 was performed. Radiation dose area product (DAP), peak skin dose (PSD), fluoroscopy time, and volume of contrast media were either measured or calculated and stratified according to patient demographics and anatomic location. In 951 patients, who were treated with endovascular interventions, mean DAP was 108 ± 88 Gy × cm(2) and mean fluoroscopy time was 13 ± 12 min. DAP was significantly higher for aortoiliac procedures (142 ± 103 Gy × cm(2)) compared with femoral (58 ± 73 Gy × cm(2)), below-knee (45 ± 51 Gy × cm(2)) and multilevel (83 ± 90 Gy × cm(2)) procedures (P < 0.001 for all comparisons). PSD was significantly higher for aortoilia...Continue Reading

Associated Clinical Trials

Apr 27, 2020·Enrique M. San Norberto

References

Apr 1, 1997·Catheterization and Cardiovascular Diagnosis·M ZorzettoA Fontanelli
Nov 16, 2001·The British Journal of Radiology·E VanoC Macaya
Jun 21, 2003·Journal of Vascular and Interventional Radiology : JVIR·Donald L MillerUNKNOWN RAD-IR study
Apr 28, 2006·The British Journal of Radiology·N TheocharopoulosN Gourtsoyiannis
Sep 12, 2007·Circulation·Andrew J EinsteinMilena J Henzlova
Feb 22, 2008·Radiation Protection Dosimetry·Doğan BorSelmin Ener
Aug 12, 2008·Journal of Vascular Surgery·Timur P SaracDaniel Clair
Jul 9, 2009·Journal of Vascular and Interventional Radiology : JVIR·Michael S SteckerUNKNOWN CIRSE Standards of Practice Committee
Sep 17, 2010·Journal of Vascular Surgery·Erica L Mitchell, Patricia Furey
Sep 18, 2010·Journal of Vascular Surgery·Erika R Ketteler, Kellie R Brown
Jul 19, 2011·Radiation Protection Dosimetry·E Molyvda-AthanasopoulouA Siountas
Jul 31, 2013·Journal of Vascular Surgery·Einat SegalAllan I Bloom

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Citations

Oct 17, 2018·VASA. Zeitschrift für Gefässkrankheiten·Vinko BocAleš Blinc
Aug 25, 2020·Expert Review of Medical Devices·Peter LegezaAlan Lumsden
Mar 10, 2017·Current Treatment Options in Cardiovascular Medicine·Andrew M GoldsweigHerbert D Aronow
Sep 6, 2020·Annals of Vascular Surgery·Alexandre VillenaAdrien Kaladji
Feb 27, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Peter LegezaAlan Lumsden

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