Radiation Exposure of the Operator During Coronary Interventions (from the RADIO Study).

Détails

ID Serval
serval:BIB_22FD42B03447
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Radiation Exposure of the Operator During Coronary Interventions (from the RADIO Study).
Périodique
The American journal of cardiology
Auteur(s)
Kallinikou Z., Puricel S.G., Ryckx N., Togni M., Baeriswyl G., Stauffer J.C., Cook S., Verdun F.R., Goy J.J.
ISSN
1879-1913 (Electronic)
ISSN-L
0002-9149
Statut éditorial
Publié
Date de publication
15/07/2016
Volume
118
Numéro
2
Pages
188-194
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
We sought to compare operator radiation exposure during procedures using right femoral access (RFA), right radial access (RRA), and left radial access (LRA) during coronary angiography (CA) and percutaneous coronary intervention (PCI). Because of an increased incidence of long-term malignancy in interventional cardiologists, operator radiation exposure is of rising concern. This prospective study included all consecutive patients who underwent elective or emergency CA ± PCI from September 2014 to March 2015. The primary end point was operator radiation exposure, quantified as the ratio of operator cumulative dose (CD) and patient radiation reported as dose-area product (DAP) (CD/DAP). Secondary end points included CD, DAP, and fluoroscopy time (FT). Overall 830 procedures (457 CA [55%] and 373 PCI [45%]) were performed, 455 (55%) through RFA, 272 (33%) through RRA, and 103 (12%) through LRA. The CD/DAP was lower in RFA (0.09 μSv/Gycm(2) [0.02 to 0.20]) compared with RRA (0.47 μSv/Gycm(2) [0.25 to 0.75], p <0.001). The LRA showed lower CD/DAP compared with RRA (p <0.001). CD was significantly lower in RFA (3 μSv [1 to 7]) compared with RRA (12 μSv [6 to 29], p <0.001). The LRA showed lower CD compared with RRA (p <0.001). There were no significant differences in DAP among the 3 access sites. FT was similar for the 3 groups (RFA 7 ± 7, RRA 5 ± 5, LRA 6 ± 5 minutes, RFA vs RRA: p = 1, RFA vs LRA: p = 0.16, RRA vs LRA: p = 0.52). In conclusion, the use of RFA during CA ± PCI is associated with significantly lower operator radiation exposure compared with RRA. LRA is associated with significantly lower operator radiation exposure compared with RRA.

Mots-clé
Cardiology and Cardiovascular Medicine
Pubmed
Web of science
Création de la notice
19/01/2017 16:18
Dernière modification de la notice
20/08/2019 13:00
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