Evaluation of patient radiation dose during cardiac interventional procedures: What is the most effective method?

K. Chida, Y. Kagaya, H. Saito, T. Ishibashi, S. Takahashi, M. Zuguchi

Research output: Contribution to journalReview articlepeer-review

26 Citations (Scopus)

Abstract

Cardiac interventional radiology has lower risks than surgical procedures. This is despite the fact that radiation doses from cardiac intervention procedures are the highest of any commonly performed general X-ray examination. Maximum radiation skin doses (MSDs) should be determined to avoid radiation-associated skin injuries in patients undergoing cardiac intervention procedures. However, real-time evaluation of MSD is unavailable for many cardiac intervention procedures. This review describes methods of determining MSD during cardiac intervention procedures. Currently, in most cardiac intervention procedures, real-time measuring of MSD is not feasible. Thus, we recommend that physicians record the patient's total entrance skin dose, such as the dose at the interventional reference point when it can be monitored, in order to estimate MSD in intervention procedures.

Original languageEnglish
Pages (from-to)474-481
Number of pages8
JournalActa Radiologica
Volume50
Issue number5
DOIs
Publication statusPublished - 2009

Keywords

  • Angioplasty
  • Catheterization
  • Coronary intervention
  • Interventional
  • Radiation exposure
  • Radiation safety

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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