DOSIMETRY DURING PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS.

Dabin, J ; Maeremans, J ; et al.

In: Radiation protection dosimetry, Jg. 181 (2018-10-01), Heft 2, S. 120-128

academicJournal

Percutaneous coronary interventions (PCI) of coronary chronic total occlusions (CTO) increase the risk of high radiation exposure for both the patient and the cardiologist. This study evaluated the maximum dose to the patients' skin (MSD) and the exposure of the cardiologists during CTO-PCI. Moreover, the efficiency of radioprotective drapes to reduce cardiologist exposure was assessed. Patient dose was measured during 31 procedures; dose to the cardiologist's extremities were measured during 65 procedures, among which 31 were performed with radioprotective drapes. The MSD was high (median: 1254 mGy; max: 6528 mGy), and higher than 2 Gy for 33% of the patients. The dose to the cardiologists' extremities per procedure was also of concern (median: 25-465 μSv), particularly to the left eye (median: 68 μSv; max: 187 μSv). Radioprotective drapes reduced the exposure to physician's upper limbs and eyes; especially to the left side (from -28 to -49%).

Titel:	DOSIMETRY DURING PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS.
Autor/in / Beteiligte Person:	Dabin, J ; Maeremans, J ; Berus, D ; Schoonjans, W ; Tamborino, G ; Dens, J ; Kayaert, P
Zeitschrift:	Radiation protection dosimetry, Jg. 181 (2018-10-01), Heft 2, S. 120-128
Veröffentlichung:	2004- : Oxford, UK : Oxford University Press ; <i>Original Publication</i>: Ashford, Kent : Nuclear Technology Pub., c1981-, 2018
Medientyp:	academicJournal
ISSN:	1742-3406 (electronic)
DOI:	10.1093/rpd/ncx303
Schlagwort:	Adult Aged Aged, 80 and over Female Humans Male Middle Aged Prospective Studies Radiation Dosage Radiation Exposure adverse effects Radiation Injuries etiology Radiometry methods Coronary Occlusion surgery Organs at Risk radiation effects Percutaneous Coronary Intervention methods Radiation Injuries prevention & control Radiation Protection methods Skin radiation effects
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Radiat Prot Dosimetry] 2018 Oct 01; Vol. 181 (2), pp. 120-128. MeSH Terms: Coronary Occlusion / surgery ; Organs at Risk / radiation effects ; Percutaneous Coronary Intervention / methods ; Radiation Injuries / prevention & control ; Radiation Protection / methods ; Skin / radiation effects ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Radiation Dosage ; Radiation Exposure / adverse effects ; Radiation Injuries / etiology ; Radiometry / methods Entry Date(s): Date Created: 20180120 Date Completed: 20181126 Latest Revision: 20181126 Update Code: 20231215

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