Comparison of radiation exposure, contrast agent consumption and cost effectiveness between computer tomography and 3D rotational angiography of the left atrium to guide catheter ablation in patients with atrial fibrillation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F17%3A00067633" target="_blank" >RIV/00159816:_____/17:00067633 - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Comparison of radiation exposure, contrast agent consumption and cost effectiveness between computer tomography and 3D rotational angiography of the left atrium to guide catheter ablation in patients with atrial fibrillation

Original language description

Background. Catheter ablation of complex atrial arrhythmias guided by 3D models of a left atrium (LA) derived from CT/MRI or 3D rotational angiography of the heart (3DRA) is currently a common practice. Our aim is to compare radiation dose, consumption of a contrast agent and cost of these methods. Methods. From 10/2012 to 10/2015, either 3DRA (157 patients using the X-ray system Philips Allura FD 10) or computer tomography (CT) (157 patients using 64-slice CT GE Lightspeed VCT) of the LA was performed in patients undergoing complex atrial arrhythmias ablation. All procedures were monitored for average effective radiation dose, dose of the contrast agent and analysis of a financial expenditures. Results. The average effective radiation dose for 3DRA was 2.11+-0.392 mSv compared to 10.52+-2.093 mSv for CT. The contrast agent consumption was 22.2 mg and 48.2 mg of iodine for 3DRA and CT, respectively. Total price per procedure is 123EUR for 3DRA and 161EUR for CT. Conclusion. Consumption of the contrast agent and radiation burden for LA 3DRA is significantly lower in comparison to most currently used CT scan methods. Cost of both methods is comparable, however, 3DRA is slightly less expensive than CT.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

20602 - Medical laboratory technology (including laboratory samples analysis; diagnostic technologies) (Biomaterials to be 2.9 [physical characteristics of living material as related to medical implants, devices, sensors])

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

BIOMEDICAL PAPERS-OLOMOUC

ISSN

1213-8118

e-ISSN

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Volume of the periodical

161

Issue of the periodical within the volume

S1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

6

Pages from-to

"S29"-"S34"

UT code for WoS article

000428945000006

EID of the result in the Scopus database

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