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

Kód výsledku v 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>

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

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])

Projekt

Výsledek vznikl pri realizaci vícero projektů. Více informací v záložce Projekty.

Návaznosti

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

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

BIOMEDICAL PAPERS-OLOMOUC

ISSN

1213-8118

e-ISSN

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Svazek periodika

161

Číslo periodika v rámci svazku

S1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

6

Strana od-do

"S29"-"S34"

Kód UT WoS článku

000428945000006

EID výsledku v databázi Scopus

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