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Establishing the European diagnostic reference levels for interventional cardiology
T. Siiskonen, O. Ciraj-Bjelac, J. Dabin, A. Diklic, J. Domienik-Andrzejewska, J. Farah, JM. Fernandez, A. Gallagher, CJ. Hourdakis, S. Jurkovic, H. Järvinen, J. Järvinen, Ž. Knežević, C. Koukorava, C. Maccia, M. Majer, F. Malchair, L. Riccardi,...
Jazyk angličtina Země Itálie
Typ dokumentu časopisecké články
- MeSH
- kardiologie normy MeSH
- referenční hodnoty MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm2), percutaneous coronary intervention (PCI, 85 Gy cm2), transcatheter aortic valve implantation (TAVI, 130 Gy cm2), electrophysiological procedures (12 Gy cm2) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm2) and dual chamber (3.5 Gy cm2) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm2). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.
Belgian Nuclear Research Centre Boeretang 200 BE 2400 Mol Belgium
CAATS 119 Grande Rue 92310 Sevres France
Central Hospital of Northern Karelia Joensuu Finland
Department of Physics Faculty of Medicine University of Rijeka Rijeka Croatia
EEAE Greek Atomic Energy Commission P O Box 60092 Agia Paraskevi 15310 Attiki Greece
Faculty of Sciences Saint Joseph University P O Box 11 514 Riad El Solh Beirut 1107 2050 Lebanon
Institute for Clinical and Experimental Medicine Videnska 1958 9 140 21 Prague Czech Republic
Medical Physics Department University Hospital Rijeka Croatia
Medical Physics Department University Hospital Rijeka Rijeka Croatia
Nofer Institute of Occupational Medicine Sw Teresy 8 Str 91 348 Łódź Poland
Ruđer Bošković Institute Bijenička c 54 10000 Zagreb Croatia
San Carlos Hospital and Complutense University Madrid Spain
St James's Hospital James's Street Dublin 8 Ireland
STUK Radiation and Nuclear Safety Authority P O Box 14 FI 00881 Helsinki Finland
Turku Heart Centre Turku University Hospital and University of Turku Turku Finland
University Hospital of Lausanne Rue du Grand Pré 1 1007 Lausanne Switzerland
University Hospitals of Geneva Rue Gabrielle Perret Gentil 4 1205 Geneva Switzerland
University of Belgrade Vinca Institute of Nuclear Sciences P O Box 522 Belgrade Serbia
Veneto Institute of Oncology IOV IRCCS Padua Italy
ZEPHYRA and Centre Hospitalier Universitaire de Liège Sart Tilman 4000 Liège Belgium
Citace poskytuje Crossref.org
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- $a Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm2), percutaneous coronary intervention (PCI, 85 Gy cm2), transcatheter aortic valve implantation (TAVI, 130 Gy cm2), electrophysiological procedures (12 Gy cm2) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm2) and dual chamber (3.5 Gy cm2) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm2). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.
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