National UK Survey of Radiation Doses During Endovascular Aortic Interventions.
Aorta
Diagnostic reference level
Endovascular aortic aneurysm repair
Radiation dose
Radiation protection
Journal
Cardiovascular and interventional radiology
ISSN: 1432-086X
Titre abrégé: Cardiovasc Intervent Radiol
Pays: United States
ID NLM: 8003538
Informations de publication
Date de publication:
15 Nov 2023
15 Nov 2023
Historique:
received:
16
05
2023
accepted:
11
10
2023
pubmed:
16
11
2023
medline:
16
11
2023
entrez:
15
11
2023
Statut:
aheadofprint
Résumé
Endovascular aortic repair (EAR) interventions, endovascular abdominal aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR), are associated with significant radiation exposures. We aimed to investigate the radiation doses from real-world practice and propose diagnostic reference level (DRL) for the UK. Radiation data and essential demographics were retrospectively collected from 24 vascular and interventional radiology centres in the UK for all patients undergoing EAR-standard EVAR or complex, branched/fenestrated (BEVAR/FEVAR), and TEVAR-between 2018 and 2021. The data set was further categorised according to X-ray unit type, either fixed or mobile. The proposed national DRL is the 75th percentile of the collective medians for procedure KAP (kerma area product), cumulative air kerma (CAK), fluoroscopy KAP and CAK. Data from 3712 endovascular aortic procedures were collected, including 2062 cases were standard EVAR, 906 cases of BEVAR/FEVAR and 509 cases of TEVAR. The majority of endovascular procedures (3477/3712) were performed on fixed X-ray units. The proposed DRL for KAP was 162 Gy cm The development of DRLs is pertinent to EAR procedures as the first step to optimise the radiation risks to patients and staff while maintaining the highest patient care and paving the way for steps to reduce radiation exposures.
Identifiants
pubmed: 37968425
doi: 10.1007/s00270-023-03592-x
pii: 10.1007/s00270-023-03592-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Lamran Khan
(L)
Ananth Krishnan
(A)
Martin Hennessy
(M)
Ram Kasthuri
(R)
Zenaib Al-Rekabi
(Z)
Said Abisi
(S)
Mark Hampshire
(M)
Panos Goutzios
(P)
Muhammad Hanif
(M)
Emma Olivier
(E)
Andrew Wood
(A)
Andrew Macey
(A)
Sachin Modi
(S)
Robert Allison
(R)
Clare Bent
(C)
Peter Bungay
(P)
Robert Whiteman
(R)
Robin Williams
(R)
Zaid Aldin
(Z)
Josephine Weaver
(J)
Robert Kaikini
(R)
David Wells
(D)
John Hancock
(J)
Anil Madhavan
(A)
Sapna Puppala
(S)
Matthew Matson
(M)
Katharine Lewis
(K)
Raman Uberoi
(R)
Andrew Winterbottom
(A)
Bella Huasen
(B)
Michael Jenkins
(M)
Trevor Cleveland
(T)
Rachel Butcher
(R)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2023. The Author(s).
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