Patient doses in interventional cardiology procedures in Sudan
Radiation doses delivered to 461 patients were measured during the period of 12 months in a hospital in Khartoum, Sudan. Kerma Area Product, Cumulative Kerma and fluoroscopy time were registered during four selected procedures, namely coronary angiography (CA), percutaneous transluminal coronary ang...
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| Veröffentlicht in: | Radiation protection dosimetry 2013-03, Vol.153 (4), p.425-430 |
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| creator | Ahmed, Nada A Ibraheem, S B Habbani, F I |
| description | Radiation doses delivered to 461 patients were measured during the period of 12 months in a hospital in Khartoum, Sudan. Kerma Area Product, Cumulative Kerma and fluoroscopy time were registered during four selected procedures, namely coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA), percutaneous transvenous mitral commissurotomy (PTMC) and pacemaker. For CA, PTCA, PTMC and pacemaker the mean and median kerma area product values in gray centimeter square were found to be (20, 17.9), (56.5, 50.3), (21.6, 19.6) and (15.3, 9.6), respectively. The obtained results for mean and median cumulative kerma in milli gray were (143.7, 120.5), (418.4, 371.4), (119.8, 102) and (88.7, 59.8) as measured for CA, PTCA, PTMC and pacemaker, respectively. The mean and median total fluoroscopy time in minutes were (5.2, 3.39), (17.6, 14.8), (18, 15) and (10.2, 7.16) as registered for CA, PTCA, PTMA and pacemaker, respectively. Maximum skin dose was estimated for 13 patients during PTCA and CA procedures. Dose exceeded 2 Gy in PTCA for one patient. In comparison with the guidelines for coronary examinations suggested by SENTINEL Consortium, a higher fluoroscopy time for PTCA procedure is reported in this study. It is realised that proper selection of irradiation area, technique modes, fluoroscopy time and conducting special training on radiation protection to the operators are the main factors for potential optimisation. |
| doi_str_mv | 10.1093/rpd/ncs119 |
| format | Article |
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Kerma Area Product, Cumulative Kerma and fluoroscopy time were registered during four selected procedures, namely coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA), percutaneous transvenous mitral commissurotomy (PTMC) and pacemaker. For CA, PTCA, PTMC and pacemaker the mean and median kerma area product values in gray centimeter square were found to be (20, 17.9), (56.5, 50.3), (21.6, 19.6) and (15.3, 9.6), respectively. The obtained results for mean and median cumulative kerma in milli gray were (143.7, 120.5), (418.4, 371.4), (119.8, 102) and (88.7, 59.8) as measured for CA, PTCA, PTMC and pacemaker, respectively. The mean and median total fluoroscopy time in minutes were (5.2, 3.39), (17.6, 14.8), (18, 15) and (10.2, 7.16) as registered for CA, PTCA, PTMA and pacemaker, respectively. Maximum skin dose was estimated for 13 patients during PTCA and CA procedures. Dose exceeded 2 Gy in PTCA for one patient. In comparison with the guidelines for coronary examinations suggested by SENTINEL Consortium, a higher fluoroscopy time for PTCA procedure is reported in this study. It is realised that proper selection of irradiation area, technique modes, fluoroscopy time and conducting special training on radiation protection to the operators are the main factors for potential optimisation.</description><identifier>ISSN: 0144-8420</identifier><identifier>EISSN: 1742-3406</identifier><identifier>DOI: 10.1093/rpd/ncs119</identifier><identifier>PMID: 22791837</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Algorithms ; Angioplasty, Balloon, Coronary - adverse effects ; Angioplasty, Balloon, Coronary - methods ; Body Mass Index ; Calibration ; Coronary Angiography - adverse effects ; Coronary Angiography - methods ; Fluoroscopy - methods ; Humans ; Middle Aged ; Radiation Dosage ; Radiography, Interventional - adverse effects ; Radiography, Interventional - methods ; Radiometry - methods ; Sudan ; X-Rays ; Young Adult</subject><ispartof>Radiation protection dosimetry, 2013-03, Vol.153 (4), p.425-430</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c287t-cfebb5e02de4d8002fe7997542d5542bb79049ba852c54cfcc7a46b181925ea03</citedby><cites>FETCH-LOGICAL-c287t-cfebb5e02de4d8002fe7997542d5542bb79049ba852c54cfcc7a46b181925ea03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22791837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmed, Nada A</creatorcontrib><creatorcontrib>Ibraheem, S B</creatorcontrib><creatorcontrib>Habbani, F I</creatorcontrib><title>Patient doses in interventional cardiology procedures in Sudan</title><title>Radiation protection dosimetry</title><addtitle>Radiat Prot Dosimetry</addtitle><description>Radiation doses delivered to 461 patients were measured during the period of 12 months in a hospital in Khartoum, Sudan. Kerma Area Product, Cumulative Kerma and fluoroscopy time were registered during four selected procedures, namely coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA), percutaneous transvenous mitral commissurotomy (PTMC) and pacemaker. For CA, PTCA, PTMC and pacemaker the mean and median kerma area product values in gray centimeter square were found to be (20, 17.9), (56.5, 50.3), (21.6, 19.6) and (15.3, 9.6), respectively. The obtained results for mean and median cumulative kerma in milli gray were (143.7, 120.5), (418.4, 371.4), (119.8, 102) and (88.7, 59.8) as measured for CA, PTCA, PTMC and pacemaker, respectively. The mean and median total fluoroscopy time in minutes were (5.2, 3.39), (17.6, 14.8), (18, 15) and (10.2, 7.16) as registered for CA, PTCA, PTMA and pacemaker, respectively. Maximum skin dose was estimated for 13 patients during PTCA and CA procedures. Dose exceeded 2 Gy in PTCA for one patient. In comparison with the guidelines for coronary examinations suggested by SENTINEL Consortium, a higher fluoroscopy time for PTCA procedure is reported in this study. It is realised that proper selection of irradiation area, technique modes, fluoroscopy time and conducting special training on radiation protection to the operators are the main factors for potential optimisation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Angioplasty, Balloon, Coronary - adverse effects</subject><subject>Angioplasty, Balloon, Coronary - methods</subject><subject>Body Mass Index</subject><subject>Calibration</subject><subject>Coronary Angiography - adverse effects</subject><subject>Coronary Angiography - methods</subject><subject>Fluoroscopy - methods</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Radiation Dosage</subject><subject>Radiography, Interventional - adverse effects</subject><subject>Radiography, Interventional - methods</subject><subject>Radiometry - methods</subject><subject>Sudan</subject><subject>X-Rays</subject><subject>Young Adult</subject><issn>0144-8420</issn><issn>1742-3406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kNtKxDAQhoMo7rp64wNIL0Wom-OmuRFk8QQLCup1yGEqlbZZk1bYtzfSVRhmhuFj-PkQOif4mmDFlnHrl71LhKgDNCeS05JxvDpEc0w4LytO8QydpPSJMZVK8GM0o3khFZNzdPNihgb6ofAhQSqaPtcA8TufmtCbtnAm-ia04WNXbGNw4Mc4ca-jN_0pOqpNm-BsPxfo_f7ubf1Ybp4fnta3m9LRSg6lq8FaAZh64L7KOWqQSknBqRe5WSsV5sqaSlAnuKudk4avLKmIogIMZgt0Of3NGb5GSIPumuSgbU0PYUyaMEJXQiomMno1oS6GlCLUehubzsSdJlj_-tLZl558Zfhi_3e0Hfh_9E8Q-wHouWdJ</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Ahmed, Nada A</creator><creator>Ibraheem, S B</creator><creator>Habbani, F I</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Patient doses in interventional cardiology procedures in Sudan</title><author>Ahmed, Nada A ; Ibraheem, S B ; Habbani, F I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287t-cfebb5e02de4d8002fe7997542d5542bb79049ba852c54cfcc7a46b181925ea03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Angioplasty, Balloon, Coronary - adverse effects</topic><topic>Angioplasty, Balloon, Coronary - methods</topic><topic>Body Mass Index</topic><topic>Calibration</topic><topic>Coronary Angiography - adverse effects</topic><topic>Coronary Angiography - methods</topic><topic>Fluoroscopy - methods</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Radiation Dosage</topic><topic>Radiography, Interventional - adverse effects</topic><topic>Radiography, Interventional - methods</topic><topic>Radiometry - methods</topic><topic>Sudan</topic><topic>X-Rays</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmed, Nada A</creatorcontrib><creatorcontrib>Ibraheem, S B</creatorcontrib><creatorcontrib>Habbani, F I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Radiation protection dosimetry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Nada A</au><au>Ibraheem, S B</au><au>Habbani, F I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient doses in interventional cardiology procedures in Sudan</atitle><jtitle>Radiation protection dosimetry</jtitle><addtitle>Radiat Prot Dosimetry</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>153</volume><issue>4</issue><spage>425</spage><epage>430</epage><pages>425-430</pages><issn>0144-8420</issn><eissn>1742-3406</eissn><abstract>Radiation doses delivered to 461 patients were measured during the period of 12 months in a hospital in Khartoum, Sudan. Kerma Area Product, Cumulative Kerma and fluoroscopy time were registered during four selected procedures, namely coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA), percutaneous transvenous mitral commissurotomy (PTMC) and pacemaker. For CA, PTCA, PTMC and pacemaker the mean and median kerma area product values in gray centimeter square were found to be (20, 17.9), (56.5, 50.3), (21.6, 19.6) and (15.3, 9.6), respectively. The obtained results for mean and median cumulative kerma in milli gray were (143.7, 120.5), (418.4, 371.4), (119.8, 102) and (88.7, 59.8) as measured for CA, PTCA, PTMC and pacemaker, respectively. The mean and median total fluoroscopy time in minutes were (5.2, 3.39), (17.6, 14.8), (18, 15) and (10.2, 7.16) as registered for CA, PTCA, PTMA and pacemaker, respectively. Maximum skin dose was estimated for 13 patients during PTCA and CA procedures. Dose exceeded 2 Gy in PTCA for one patient. In comparison with the guidelines for coronary examinations suggested by SENTINEL Consortium, a higher fluoroscopy time for PTCA procedure is reported in this study. It is realised that proper selection of irradiation area, technique modes, fluoroscopy time and conducting special training on radiation protection to the operators are the main factors for potential optimisation.</abstract><cop>England</cop><pmid>22791837</pmid><doi>10.1093/rpd/ncs119</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Algorithms Angioplasty, Balloon, Coronary - adverse effects Angioplasty, Balloon, Coronary - methods Body Mass Index Calibration Coronary Angiography - adverse effects Coronary Angiography - methods Fluoroscopy - methods Humans Middle Aged Radiation Dosage Radiography, Interventional - adverse effects Radiography, Interventional - methods Radiometry - methods Sudan X-Rays Young Adult |
| title | Patient doses in interventional cardiology procedures in Sudan |
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