IMPLIKACJE RADIOLOGICZNE ZABIEGÓW STALEJ ELEKTROTERAPII SERCA (CIED) - WYBRANE ASPEKTY/RADIOGRAPHIC IMPLICATIONS OF PROCEDURES INVOLVING CARDIAC IMPLANTABLE ELECTRONIC DEVICES (CIEDS) - SELECTED ASPECTS

STRESZCZENIE Wstep: Realizacja czçsci procedur CIED (cardiac implantable electronic device - stalej elektroterapii serca) wymaga zastosowania promieniowania rentgenowskiego (rtg.), co znajduje odzwierciedlenie w czasie ekspozycji TFTs (total fluoroscopy times - lqczny czas naswietlania) oraz wielkosci dawki promieniowania rtg. wyemitowanej na skorç pacjenta (dose area product - DAP). Pr. 2017;68(3):363-374 Slowa kluczowe: promieniowanie rtg., wejsciowa dawka powierzchniowa, pracownicy medyczni, fluoroskopia, rozruszniki serca, defibrylatory implantowane ABSTRACT Background: Some cardiac implantable electronic device (CIED) implantation procedures require the use of X-rays, which is reflected by such parameters as total fluoroscopy time (TFT) and dose-area product (DAP - defined as the absorbed dose multiplied by the area irradiated). The group of 424 de novo procedures included 203 pacemaker (PM) and 171 implantable cardioverter-defibrillator (ICD) implantation procedures, separately stratified by single-chamber and dual-chamber systems. Results: We observed differences in TFT and DAP values between procedure types, with PM-related procedures showing the lowest, ICD - intermediate (with values for single-chamber considerably lower than those for dual-chamber systems) and CRT implantation procedures - highest X-ray exposure. X-ray, entrance surface dose, healthcare personnel, fluoroscopy, pacemakers, implantable defibrillators WSTÇP Rozszerzenie wskazañ do stalej elektroterapii serca wplynçlo na zwiçkszenie liczby wykonywanych zabiegów implantacji elektronicznych urzadzeñ do stalej elektroterapii serca (cardiac implantable electronic device - CIED). Electrophysiol. 2010;33(8): 1003-1012, https://doi.org/10.1111Aj.15408159.2010.02765.x 27.Duray G.Z., Ilsrael C.W, Pajitnev D., Hohnloser S.H.: Upgrading to biventricular pacing/defibrillation systems in right ventricular paced congestive heart failure patients: M. Mossakowskiego PAN, Warszawa, Polska / Mossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland 3 Samodzielny Publiczny Centralny...