Establishing the European diagnostic reference levels for interventional cardiology
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F18%3A00077471" target="_blank" >RIV/00023001:_____/18:00077471 - isvavai.cz</a>
Result on the web
<a href="https://reader.elsevier.com/reader/sd/pii/S1120179718311748?token=84B47A8C6DC0807CE46E08904241EA9E4EE7868A8079D4BD4B9FD41A463B43DFDF3241CEFD32388AEAE1C36563F7FC4C" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S1120179718311748?token=84B47A8C6DC0807CE46E08904241EA9E4EE7868A8079D4BD4B9FD41A463B43DFDF3241CEFD32388AEAE1C36563F7FC4C</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ejmp.2018.09.012" target="_blank" >10.1016/j.ejmp.2018.09.012</a>
Alternative languages
Result language
angličtina
Original language name
Establishing the European diagnostic reference levels for interventional cardiology
Original language description
Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm(2)), percutaneous coronary intervention (PCI, 85 Gy cm(2)), transcatheter aortic valve implantation (TAVI, 130 Gy cm(2)), electrophysiological procedures (12 Gy cm(2)) and pacemaker implantations Pacemaker implantations were further divided into single-chamber (2.5 Gy cm(2)) and dual chamber (3.5 Gy cm(2)) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm(2)). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Physica medica : European journal of medical physics
ISSN
1120-1797
e-ISSN
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Volume of the periodical
54
Issue of the periodical within the volume
October
Country of publishing house
GB - UNITED KINGDOM
Number of pages
7
Pages from-to
42-48
UT code for WoS article
000447271300006
EID of the result in the Scopus database
2-s2.0-85053916243