| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Full Paper |
1 Department of Bioengineering, Onassis Cardiac Surgery Centre, Athens, 2 Medical Physics Department, Athens University, Medical School, Athens, Greece, 3 Medical Physics Service and Radiology Department, San Carlos University Hospital and Complutense University, Madrid, Spain, 4 Quality Assurance Reference Centre, Newcastle General Hospital, Newcastle upon Tyne, UK, 5 Medical Physics Department, Regional Athens General Hospital "G.Gennimatas", Athens, Greece, and 6 Servizio di Fisica, Ospedale S. Maria della Misericardia, 33100 Udine, Italy
The purpose of this study was to collect information on the practice and patient doses in a major Greek cardiac centre, investigate differences between senior cardiologists of various levels of experience and compare results with the literature, in order to optimize angiographic and interventional cardiology procedures. Radiation doses from 292 patients have been studied, 195 of which had undergone coronary angiography and 97 percutaneous transluminal coronary angioplasty. All procedures were undertaken on a Siemens Angioscop X-ray equipment. The system performed under automatic exposure control using pulsed fluoroscopy of 12.5 pulses s-1 and cine frame rate of 25 frames s-1. Dose–area product values, fluoroscopy times, total number of cine frames as well as operator's name were collected for each patient. Only senior cardiologists have participated in the study. Median values for dose–area product were 39.1 Gy cm2 for coronary angiography and 58.3 Gy cm2 for percutaneous transluminal coronary angioplasty. Median fluoroscopy time was 5.0 min and 9.7 min and median number of frames was 1588 and 1823 for coronary angiography and percutaneous transluminal coronary angioplasty, respectively. Comparison showed that patient dose–area product values were lower than other studies and fluoroscopy time values were comparable. However, the total number of frames used was much higher than other published results. Differences between cardiologists with increased experience have been found. Analysis of the patient dose values obtained initiated a program of radiation protection optimization. The need for continuous training in radiation protection for interventionalists has been verified.
This article has been cited by other articles:
 |
|
 |
|
  V. Tsapaki, S. Kottou, S. Korniotis, N. Nikolaki, S. Rammos, and S. C. Apostolopoulou RADIATION DOSES IN PAEDIATRIC INTERVENTIONAL CARDIOLOGY PROCEDURES Radiat Prot Dosimetry, January 2, 2009; (2009) ncn313v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Mesbahi, N. Aslanabadi, and P. Mehnati A STUDY ON THE IMPACT OF OPERATOR EXPERIENCE ON THE PATIENT RADIATION EXPOSURE IN CORONARY ANGIOGRAPHY EXAMINATIONS Radiat Prot Dosimetry, December 16, 2008; (2008) ncn300v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. O. Lie, G. U. Paulsen, and T. Wohni ASSESSMENT OF EFFECTIVE DOSE AND DOSE TO THE LENS OF THE EYE FOR THE INTERVENTIONAL CARDIOLOGIST Radiat Prot Dosimetry, December 4, 2008; (2008) ncn296v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K FAULKNER and A WERDUCH An estimate of the collective dose to the European population from cardiac X-ray procedures Br. J. Radiol., December 1, 2008; 81(972): 955 - 962. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. T. Bahreyni Toossi, H. Zare, S. Bayani, and S. Esmaili Organ and effective doses of patients arising from coronary angiography and percutaneous transluminal coronary angioplasty at two hospitals in Mashhad-Iran Radiat Prot Dosimetry, February 1, 2008; 128(3): 363 - 366. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O W E Morrish and K E Goldstone An investigation into patient and staff doses from X-ray angiography during coronary interventional procedures Br. J. Radiol., January 1, 2008; 81(961): 35 - 45. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Einstein, K. W. Moser, R. C. Thompson, M. D. Cerqueira, and M. J. Henzlova Radiation Dose to Patients From Cardiac Diagnostic Imaging Circulation, September 11, 2007; 116(11): 1290 - 1305. [Full Text] [PDF]
|
|
|
|
|
|
E. Papageorgiou, V. Tsapaki, I. A. Tsalafoutas, E. Maurikou, S. Kottou, A. Orfanos, G. Karidas, T. Fidanis, E. Zafiriadou, and V. Neofotistou Comparison of patient doses in interventional radiology procedures performed in two large hospitals in Greece Radiat Prot Dosimetry, August 17, 2007; (2007) ncm136v1. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Tsapaki, S. Kottou, E. Vano, T. Parviainen, R. Padovani, A. Dowling, M. Molfetas, and V. Neofotistou Correlation of patient and staff doses in interventional cardiology Radiat Prot Dosimetry, December 1, 2005; 117(1-3): 26 - 29. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Padovani and E. Quai Patient dosimetry approaches in interventional cardiology and literature dose data review Radiat Prot Dosimetry, December 1, 2005; 117(1-3): 217 - 221. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Trianni, G. Chizzola, H. Toh, E. Quai, E. Cragnolini, G. Bernardi, A. Proclemer, and R. Padovani Patient skin dosimetry in haemodynamic and electrophysiology interventional cardiology Radiat Prot Dosimetry, December 1, 2005; 117(1-3): 241 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Tsapaki, S. Kottou, S. Patsilinakos, V. Voudris, and D. V. Cokkinos Radiation dose measurements to the interventional cardiologist using an electronic personal dosemeter Radiat Prot Dosimetry, December 6, 2004; 112(2): 245 - 249. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E M Paisley, J P Eatough, P J Mountford, G Frain, and J Pickerill Patient radiation doses during invasive cardiac procedures categorised by clinical code Br. J. Radiol., December 1, 2004; 77(924): 1022 - 1026. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Tsapaki, S. Kottou, N. Kollaros, P. Dafnomili, Z. Kyriakidis, and V. Neofotistou Dose performance evaluation of a charge coupled device and a flat-panel digital fluoroscopy system recently installed in an interventional cardiology laboratory Radiat Prot Dosimetry, October 11, 2004; 111(3): 297 - 304. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| BJR | DMFR | IMAGING | ALL BIR JOURNALS |
