Patients' radiation doses during percutaneous endovascular procedures in arteries of the lower limbs.
endovascular revascularisation
peripheral arterial disease
radiation exposure
Journal
VASA. Zeitschrift fur Gefasskrankheiten
ISSN: 0301-1526
Titre abrégé: Vasa
Pays: Switzerland
ID NLM: 0317051
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
17
10
2018
medline:
26
4
2019
entrez:
17
10
2018
Statut:
ppublish
Résumé
Percutaneous endovascular revascularisation interventions are increasingly used in treatment of lower extremity artery disease and may expose patients to substantial radiation. Dose-area product (DAP) was retrospectively analysed in 1063 consecutive interventions performed in adult patients with lower extremity artery disease in a single tertiary medical centre. Differences between procedure types, stratified according to anatomical region and arterial lesion complexity were evaluated. Median DAP for diagnostic interventions was 35.6 (15.0-52.4) Gy cm The most important factor influencing patients' radiation doses was the anatomical region. Pelvic interventions were associated with 6-11-times higher DAP values than femoropopliteal interventions with antegrade ipsilateral approach. Stenting and complexity of lesions increased DAP only in antegrade ipsilateral femoropopliteal interventions.
Sections du résumé
BACKGROUND
BACKGROUND
Percutaneous endovascular revascularisation interventions are increasingly used in treatment of lower extremity artery disease and may expose patients to substantial radiation.
PATIENTS AND METHODS
METHODS
Dose-area product (DAP) was retrospectively analysed in 1063 consecutive interventions performed in adult patients with lower extremity artery disease in a single tertiary medical centre. Differences between procedure types, stratified according to anatomical region and arterial lesion complexity were evaluated.
RESULTS
RESULTS
Median DAP for diagnostic interventions was 35.6 (15.0-52.4) Gy cm
CONCLUSIONS
CONCLUSIONS
The most important factor influencing patients' radiation doses was the anatomical region. Pelvic interventions were associated with 6-11-times higher DAP values than femoropopliteal interventions with antegrade ipsilateral approach. Stenting and complexity of lesions increased DAP only in antegrade ipsilateral femoropopliteal interventions.
Identifiants
pubmed: 30322344
doi: 10.1024/0301-1526/a000744
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM