TY - JOUR
T1 - Establishing the European diagnostic reference levels for interventional cardiology
AU - Siiskonen, Teemu
AU - Ciraj-Bjelac, Olivera
AU - Dabin, Jérémie
AU - Diklic, A.
AU - Domienik-Andrzejewska, Joanna
AU - Farah, Jad
AU - Fernández, José Miguel
AU - Gallagher, A.
AU - Hourdakis, C.
AU - Jurkovic, S.
AU - Järvinen, H.
AU - Järvinen, J.
AU - Knezevic, Zeljka
AU - Koukorava, Christina
AU - Maccia, Carlos
AU - Majer, Marija
AU - Malchair, Françoise
AU - Riccardi, L.
AU - Rizk, C.
AU - Sanchez, R.
AU - Sandborg, M.
AU - Sans-Mercé, Marta
AU - D., Segota
AU - Sierpowska, J.
AU - Simantirakis, G.
AU - Sukupova, L.
AU - Thrapsanioti, Z.
AU - Vaño, E.
N1 - Score=10
PY - 2018/10/1
Y1 - 2018/10/1
N2 - 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.
AB - 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.
KW - Diagnostic reference levels
KW - interventional cardiology
UR - http://ecm.sckcen.be/OTCS/llisapi.dll/open/31710285
U2 - 10.1016/j.ejmp.2018.09.012
DO - 10.1016/j.ejmp.2018.09.012
M3 - Article
SN - 1120-1797
VL - 54
SP - 42
EP - 48
JO - Physica Medica
JF - Physica Medica
ER -