Radiation exposure in the endovascular therapy of cranial and spinal dural arteriovenous fistula in the last decade: a retrospective, single-center observational study.


Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 04 07 2021
accepted: 08 09 2021
pubmed: 28 9 2021
medline: 19 2 2022
entrez: 27 9 2021
Statut: ppublish

Résumé

This study aims to determine local diagnostic reference levels (DRLs) in the endovascular therapy (EVT) of patients with cranial and spinal dural arteriovenous fistula (dAVF). In a retrospective study design, DRLs and achievable dose (AD) were assessed for all patients with cranial and spinal dAVF undergoing EVT (I) or diagnostic angiography (II). All procedures were performed at the flat-panel angiography-system Allura Xper (Philips Healthcare). Interventional procedures were differentiated according to the region of fistula and the type of procedure. In total, 264 neurointerventional procedures of 131 patients with dAVF (94 cranial, 37 spinal) were executed between 02/2010 and 12/2020. The following DRLs, AD, and mean values could be determined: for cranial dAVF (I) DRL 507.33 Gy cm Our results could be used for establishing DRLs in the EVT of cranial and spinal dAVF. Because radiation exposure to comparably complex interventions such as AVM embolization is similar, it may be useful to determine general DRLs for both entities together.

Identifiants

pubmed: 34570252
doi: 10.1007/s00234-021-02816-6
pii: 10.1007/s00234-021-02816-6
pmc: PMC8850286
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

587-595

Informations de copyright

© 2021. The Author(s).

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Auteurs

Marcel Opitz (M)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany. marcel.opitz@uk-essen.de.

Sebastian Zensen (S)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Denise Bos (D)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Yan Li (Y)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Hanna Styczen (H)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Axel Wetter (A)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
Department of Diagnostic and Interventional Radiology, Neuroradiology, Asklepios Klinikum Harburg, Hamburg, Germany.

Nika Guberina (N)

Department of Radiotion Therapy, University Hospital Essen, West German Cancer Center, Essen, Germany.

Ramazan Jabbarli (R)

Department of Neurosurgery, University Hospital Essen, Essen, Germany.

Ulrich Sure (U)

Department of Neurosurgery, University Hospital Essen, Essen, Germany.

Michael Forsting (M)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

Isabel Wanke (I)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
Department of Neuroradiology, Clinic Hirslanden, Zurich, Switzerland.

Cornelius Deuschl (C)

Institute of Diagnostic and Interventional Radiology and Neuroradiology, Faculty of Medicine University Hospital Essen, University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.

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