Reducing radiocontrast use in the cardiac catheterization laboratory--a behavioral modification approach

Quality Management in Health Care
Azimuddin Tareq KhawajaAlan H Gradman

Abstract

This study assessed the impact of behavioral modification techniques on reducing the volume of contrast dye used during cardiac catheterization and percutaneous coronary intervention (PCI). Excessive administration of radiocontrast agents in the catheterization laboratory is associated with numerous adverse effects including radiocontrast nephropathy. This may be precipitated by using large volumes of contrast dye, particularly in diabetic patients and those with pre-existing renal dysfunction. Data were prospectively collected on 20,322 consecutive patients undergoing cardiac catheterization and PCI between January 1997 and December 2001. A focused behavioral modification program was initiated in late 1998. The physician was informed verbally during the course of the procedure and by letter after the procedure regarding the volume of contrast dye used for cases in which the radiocontrast volume exceeded 300 mL. Data were analyzed using the Fischer's exact test. In the prefeedback years (1997 and 1998), high contrast use occurred in 7.7% (n = 602) of the total cases (n = 7799). In the postfeedback years (1999, 2000, and 2001), this declined to 3.6% (n = 445) of the total cases (n = 12,523), representing a 53% reduction (P < .00...Continue Reading

References

Apr 1, 1986·Annals of Internal Medicine·C P TaliercioJ C Burnett
Dec 31, 1997·The American Journal of Medicine·P A McCulloughW W O'Neill
Feb 24, 2001·Journal of Vascular and Interventional Radiology : JVIR·M M Waybill, P N Waybill

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Citations

May 5, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James SapontisSteffen Desch
Feb 16, 2019·Cardiology Research and Practice·Robby Singh, Marcel Zughaib

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