Establishing the European diagnostic reference levels for interventional cardiology.

Details

Serval ID
serval:BIB_1626C68D7B81
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Establishing the European diagnostic reference levels for interventional cardiology.
Journal
Physica medica
Author(s)
Siiskonen T., Ciraj-Bjelac O., Dabin J., Diklic A., Domienik-Andrzejewska J., Farah J., Fernandez J.M., Gallagher A., Hourdakis C.J., Jurkovic S., Järvinen H., Järvinen J., Knežević Ž., Koukorava C., Maccia C., Majer M., Malchair F., Riccardi L., Rizk C., Sanchez R., Sandborg M., Merce M.S., Segota D., Sierpowska J., Simantirakis G., Sukupova L., Thrapsanioti Z., Vano E.
ISSN
1724-191X (Electronic)
ISSN-L
1120-1797
Publication state
Published
Issued date
10/2018
Peer-reviewed
Oui
Volume
54
Pages
42-48
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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 cm <sup>2</sup> ), percutaneous coronary intervention (PCI, 85 Gy cm <sup>2</sup> ), transcatheter aortic valve implantation (TAVI, 130 Gy cm <sup>2</sup> ), electrophysiological procedures (12 Gy cm <sup>2</sup> ) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm <sup>2</sup> ) and dual chamber (3.5 Gy cm <sup>2</sup> ) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm <sup>2</sup> ). 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.
Keywords
Cardiology/standards, Europe, Reference Values, Diagnostic reference levels, Interventional cardiology
Pubmed
Web of science
Create date
02/11/2018 16:40
Last modification date
20/08/2019 12:45
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