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Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access

Introduction: Cardiac catheterization procedure through the trans-radial access (TRA) have shown many clinical advantages over the trans-femoral (TFA), but despite its advantages, there are serious concerns regarding higher possible radiation dose for the patients and operators in TRA. This study wa...

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Autores principales: Tarighatnia, Ali, Mohammad Alian, Amir Hossein, Ghojazadeh, Morteza, Farajollahi, Alir Reza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970575/
https://www.ncbi.nlm.nih.gov/pubmed/27489601
http://dx.doi.org/10.15171/jcvtr.2016.15
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author Tarighatnia, Ali
Mohammad Alian, Amir Hossein
Ghojazadeh, Morteza
Farajollahi, Alir Reza
author_facet Tarighatnia, Ali
Mohammad Alian, Amir Hossein
Ghojazadeh, Morteza
Farajollahi, Alir Reza
author_sort Tarighatnia, Ali
collection PubMed
description Introduction: Cardiac catheterization procedure through the trans-radial access (TRA) have shown many clinical advantages over the trans-femoral (TFA), but despite its advantages, there are serious concerns regarding higher possible radiation dose for the patients and operators in TRA. This study was planned to compare the patients’ radiation dose associated with TRA and TFA during coronary angiography (CA) and percutaneous transluminal coronary angioplasty (PTCA). Methods: Of 700 candidates for angiography, 326 patients were entered the study. All the procedures were carried out by one interventional cardiologist employing the same angiography unit in Aalinasab hospital and the patients’ dose area product (DAP), air kerma (AK), fluoroscopy time (FT) and cine film time (CFT) were then determined in both access groups (TRA,TFA) in CA, PTCA and CA+PTCA procedures. Results: The mean FT, CFT and AK values in both TRA & TFA groups were the same in all procedures (P>0.05). The mean DAP in CA+PTCA procedures was 6704.01±3243.23 µGym(2) in femoral access compare with 5647.46±2797.74 µGym(2) in radial access, which were significantly less than that in TFA with P= 0.02. Conclusion: On the basis of the results obtained in this study, no differences were found in patients’ radiation dose in both access groups, therefore with regard to comparatively more clinical advantages associated with the Trans-radial access technique it might be a good substitute for Trans-femoral access.
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spelling pubmed-49705752016-08-03 Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access Tarighatnia, Ali Mohammad Alian, Amir Hossein Ghojazadeh, Morteza Farajollahi, Alir Reza J Cardiovasc Thorac Res Original Article Introduction: Cardiac catheterization procedure through the trans-radial access (TRA) have shown many clinical advantages over the trans-femoral (TFA), but despite its advantages, there are serious concerns regarding higher possible radiation dose for the patients and operators in TRA. This study was planned to compare the patients’ radiation dose associated with TRA and TFA during coronary angiography (CA) and percutaneous transluminal coronary angioplasty (PTCA). Methods: Of 700 candidates for angiography, 326 patients were entered the study. All the procedures were carried out by one interventional cardiologist employing the same angiography unit in Aalinasab hospital and the patients’ dose area product (DAP), air kerma (AK), fluoroscopy time (FT) and cine film time (CFT) were then determined in both access groups (TRA,TFA) in CA, PTCA and CA+PTCA procedures. Results: The mean FT, CFT and AK values in both TRA & TFA groups were the same in all procedures (P>0.05). The mean DAP in CA+PTCA procedures was 6704.01±3243.23 µGym(2) in femoral access compare with 5647.46±2797.74 µGym(2) in radial access, which were significantly less than that in TFA with P= 0.02. Conclusion: On the basis of the results obtained in this study, no differences were found in patients’ radiation dose in both access groups, therefore with regard to comparatively more clinical advantages associated with the Trans-radial access technique it might be a good substitute for Trans-femoral access. Tabriz University of Medical Sciences 2016 2016-06-28 /pmc/articles/PMC4970575/ /pubmed/27489601 http://dx.doi.org/10.15171/jcvtr.2016.15 Text en © 2016 The Author(s) This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tarighatnia, Ali
Mohammad Alian, Amir Hossein
Ghojazadeh, Morteza
Farajollahi, Alir Reza
Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title_full Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title_fullStr Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title_full_unstemmed Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title_short Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
title_sort comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970575/
https://www.ncbi.nlm.nih.gov/pubmed/27489601
http://dx.doi.org/10.15171/jcvtr.2016.15
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