Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Radiation reduction in a modern catheterization laboratory: A single-center experience
Catheterization and Cardiovascular Interventions, Volume 100, No. 4, Year 2022
Notification
URL copied to clipboard!
Description
Background: Measures were undertaken at the Cleveland Clinic to reduce radiation exposure to patients and personnel working in the catheterization laboratories. We report our experience with these improved systems over a 7-year period in patients undergoing diagnostic catheterization (DC) and percutaneous coronary interventions (PCIs). Methods: Patients were categorized into preinitiative (2009–2012) and postinitiative (2013–2019) groups in the DC and PCI cohorts. Propensity score matching was done between the pre- and postinitiative groups for both cohorts based on age, sex, body surface area, total fluoroscopy time, and total acquisition time. The effectiveness of radiation reduction measures was assessed by comparing the total air kerma (Ka,r), and fluoroscopy- and acquisition-mode air kerma in patients in the two groups. Results: In the DC cohort, there was a significant reduction in Ka,r in the postinitiative group in comparison to the preinitiative group (median, 396 vs. 857 mGy; p < 0.001). In the PCI cohort, Ka,r in the postinitiative group was 1265 mGy, which was significantly lower than the corresponding values in the preinitiative group (1994 mGy; p < 0.001). We also observed a significant reduction in fluoroscopy- and acquisition-based air kerma rates, and air kerma area product in the postinitiative group in comparison to the preinitiative group in both matched and unmatched DC and PCI cohorts after the institution of radiation reduction measures. Conclusion: There was a significant and sustained reduction in radiation exposure to patients in the catheterization laboratory with the implementation of advanced protocols. Similar algorithms can be applied in other laboratories to achieve a similar reduction in radiation exposure. © 2022 Wiley Periodicals LLC.
Authors & Co-Authors
Saad, Anas M.
United States, Cleveland
Cleveland Clinic Foundation
Abushouk, Abdelrahman Ibrahim
United States, Cleveland
Cleveland Clinic Foundation
Abdelfattah, Omar M.
United States, Cleveland
Cleveland Clinic Foundation
Farwati, Medhat
United States, Cleveland
Cleveland Clinic Foundation
Ahuja, Keerat Rai
United States, Cleveland
Cleveland Clinic Foundation
Ellis, Stephen G.
United States, Cleveland
Cleveland Clinic Foundation
Khatri, Jaikirshan J.
United States, Cleveland
Cleveland Clinic Foundation
Krishnaswamy, Amar
United States, Cleveland
Cleveland Clinic Foundation
Kapadia, Samir R.
United States, Cleveland
Cleveland Clinic Foundation
Statistics
Citations: 1
Authors: 9
Affiliations: 1
Identifiers
Doi:
10.1002/ccd.30396
ISSN:
15221946
Research Areas
Cancer
Environmental
Health System And Policy
Study Design
Cohort Study
Case-Control Study