Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose

There is a gap in the literature regarding fetal radiation exposure from interventional cardiac procedures. With an increasingly large and complex cohort of pregnant cardiac patients, it is necessary to evaluate the safety of invasive cardiac procedures and interventions in this population. Here we...

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Autores principales: Kuba, Kfier, Wolfe, Diana, Schoenfeld, Alan H., Bortnick, Anna E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642787/
https://www.ncbi.nlm.nih.gov/pubmed/31360566
http://dx.doi.org/10.1155/2019/8410203
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author Kuba, Kfier
Wolfe, Diana
Schoenfeld, Alan H.
Bortnick, Anna E.
author_facet Kuba, Kfier
Wolfe, Diana
Schoenfeld, Alan H.
Bortnick, Anna E.
author_sort Kuba, Kfier
collection PubMed
description There is a gap in the literature regarding fetal radiation exposure from interventional cardiac procedures. With an increasingly large and complex cohort of pregnant cardiac patients, it is necessary to evaluate the safety of invasive cardiac procedures and interventions in this population. Here we present a case of a patient with multiple medical comorbidities and non-ST elevation myocardial infarction (NSTEMI) at 15 weeks' gestation, managed with percutaneous coronary intervention (PCI). We were able to minimize the maternal and estimated fetal absorbed radiation dose to <1 milliGray (mGy), significantly less than the threshold dose for fetal adverse effects at this gestational age.
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spelling pubmed-66427872019-07-29 Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose Kuba, Kfier Wolfe, Diana Schoenfeld, Alan H. Bortnick, Anna E. Case Rep Obstet Gynecol Case Report There is a gap in the literature regarding fetal radiation exposure from interventional cardiac procedures. With an increasingly large and complex cohort of pregnant cardiac patients, it is necessary to evaluate the safety of invasive cardiac procedures and interventions in this population. Here we present a case of a patient with multiple medical comorbidities and non-ST elevation myocardial infarction (NSTEMI) at 15 weeks' gestation, managed with percutaneous coronary intervention (PCI). We were able to minimize the maternal and estimated fetal absorbed radiation dose to <1 milliGray (mGy), significantly less than the threshold dose for fetal adverse effects at this gestational age. Hindawi 2019-07-07 /pmc/articles/PMC6642787/ /pubmed/31360566 http://dx.doi.org/10.1155/2019/8410203 Text en Copyright © 2019 Kfier Kuba et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kuba, Kfier
Wolfe, Diana
Schoenfeld, Alan H.
Bortnick, Anna E.
Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title_full Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title_fullStr Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title_full_unstemmed Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title_short Percutaneous Coronary Intervention in Pregnancy: Modeling of the Fetal Absorbed Dose
title_sort percutaneous coronary intervention in pregnancy: modeling of the fetal absorbed dose
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642787/
https://www.ncbi.nlm.nih.gov/pubmed/31360566
http://dx.doi.org/10.1155/2019/8410203
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AT schoenfeldalanh percutaneouscoronaryinterventioninpregnancymodelingofthefetalabsorbeddose
AT bortnickannae percutaneouscoronaryinterventioninpregnancymodelingofthefetalabsorbeddose

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