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Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention
INTRODUCTION: Most endovascular techniques are associated with patient and personal exposure to radiation during the procedure. Ionising radiation can cause deterministic effects, such as skin injury, as well as stochastic effects, which increase the long-term risk of malignancy. Endovascular operat...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252332/ https://www.ncbi.nlm.nih.gov/pubmed/25489329 http://dx.doi.org/10.5114/pwki.2014.46776 |
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author | Arif, Salech Bartus, Stanislaw Rakowski, Tomasz Bobrowska, Beata Rutka, Joanna Zabowka, Anna Tokarek, Tomasz Dudek, Dariusz Dubiel, Jacek |
author_facet | Arif, Salech Bartus, Stanislaw Rakowski, Tomasz Bobrowska, Beata Rutka, Joanna Zabowka, Anna Tokarek, Tomasz Dudek, Dariusz Dubiel, Jacek |
author_sort | Arif, Salech |
collection | PubMed |
description | INTRODUCTION: Most endovascular techniques are associated with patient and personal exposure to radiation during the procedure. Ionising radiation can cause deterministic effects, such as skin injury, as well as stochastic effects, which increase the long-term risk of malignancy. Endovascular operators need to be aware of radiation danger and take all necessary steps to minimise the risk to patients and staff. Some procedures, especially percutaneous peripheral artery revascularisation, are associated with increased radiation dose due to time-consuming operations. There is limited data comparing radiation dose during percutaneous coronary intervention (PCI) with percutaneous transluminal angioplasty (PTA) of peripheral arteries. AIM: To compare the radiation dose in percutaneous coronary vs. peripheral interventions in one centre with a uniform system of protection methods. MATERIAL AND METHODS: A total of 352 patients were included in the study. This included 217 patients undergoing PCI (single and multiple stenting) and 135 patients undergoing PTA (in lower extremities, carotid artery, renal artery, and subclavian artery). Radiation dose, fluoroscopy time, and total procedural time were reviewed. Cumulative radiation dose was measured in gray (Gy) units. RESULTS: The total procedural time was significantly higher in PTA (PCI vs. PTA: 60 (45–85) min vs. 75 (50–100) min), p < 0.001. The radiation dose for PCI procedures was significantly higher in comparison to PTA (PCI vs. PTA: 1.36 (0.83–2.23) Gy vs. 0.27 (0.13–0.46) Gy), p < 0.001. There was no significant difference in the fluoroscopy time (PCI vs. PTA: 12.9 (8.2–21.5) min vs. 14.4 (8.0–22.6) min), p = 0.6. The analysis of correlation between radiation dose and fluoroscopy time in PCI and PTA interventions separately shows a strong correlation in PCI group (r = 0.785). However, a weak correlation was found in PTA group (r = 0.317). CONCLUSIONS: The radiation dose was significantly higher during PCI in comparison to PTA procedures despite comparable fluoroscopy time and longer total procedure time in PTA. Fluoroscopy time is a reliable parameter to control the radiation dose exposure in coronary procedures. The increasing complexity of endovascular interventions has resulted in the increase of radiation dose exposure during PCI procedures. |
format | Online Article Text |
id | pubmed-4252332 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-42523322014-12-08 Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention Arif, Salech Bartus, Stanislaw Rakowski, Tomasz Bobrowska, Beata Rutka, Joanna Zabowka, Anna Tokarek, Tomasz Dudek, Dariusz Dubiel, Jacek Postepy Kardiol Interwencyjnej Original Paper INTRODUCTION: Most endovascular techniques are associated with patient and personal exposure to radiation during the procedure. Ionising radiation can cause deterministic effects, such as skin injury, as well as stochastic effects, which increase the long-term risk of malignancy. Endovascular operators need to be aware of radiation danger and take all necessary steps to minimise the risk to patients and staff. Some procedures, especially percutaneous peripheral artery revascularisation, are associated with increased radiation dose due to time-consuming operations. There is limited data comparing radiation dose during percutaneous coronary intervention (PCI) with percutaneous transluminal angioplasty (PTA) of peripheral arteries. AIM: To compare the radiation dose in percutaneous coronary vs. peripheral interventions in one centre with a uniform system of protection methods. MATERIAL AND METHODS: A total of 352 patients were included in the study. This included 217 patients undergoing PCI (single and multiple stenting) and 135 patients undergoing PTA (in lower extremities, carotid artery, renal artery, and subclavian artery). Radiation dose, fluoroscopy time, and total procedural time were reviewed. Cumulative radiation dose was measured in gray (Gy) units. RESULTS: The total procedural time was significantly higher in PTA (PCI vs. PTA: 60 (45–85) min vs. 75 (50–100) min), p < 0.001. The radiation dose for PCI procedures was significantly higher in comparison to PTA (PCI vs. PTA: 1.36 (0.83–2.23) Gy vs. 0.27 (0.13–0.46) Gy), p < 0.001. There was no significant difference in the fluoroscopy time (PCI vs. PTA: 12.9 (8.2–21.5) min vs. 14.4 (8.0–22.6) min), p = 0.6. The analysis of correlation between radiation dose and fluoroscopy time in PCI and PTA interventions separately shows a strong correlation in PCI group (r = 0.785). However, a weak correlation was found in PTA group (r = 0.317). CONCLUSIONS: The radiation dose was significantly higher during PCI in comparison to PTA procedures despite comparable fluoroscopy time and longer total procedure time in PTA. Fluoroscopy time is a reliable parameter to control the radiation dose exposure in coronary procedures. The increasing complexity of endovascular interventions has resulted in the increase of radiation dose exposure during PCI procedures. Termedia Publishing House 2014-11-17 2014 /pmc/articles/PMC4252332/ /pubmed/25489329 http://dx.doi.org/10.5114/pwki.2014.46776 Text en Copyright © 2014 Termedia http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Paper Arif, Salech Bartus, Stanislaw Rakowski, Tomasz Bobrowska, Beata Rutka, Joanna Zabowka, Anna Tokarek, Tomasz Dudek, Dariusz Dubiel, Jacek Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title | Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title_full | Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title_fullStr | Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title_full_unstemmed | Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title_short | Comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
title_sort | comparison of radiation dose exposure in patients undergoing percutaneous coronary intervention vs. peripheral intervention |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252332/ https://www.ncbi.nlm.nih.gov/pubmed/25489329 http://dx.doi.org/10.5114/pwki.2014.46776 |
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