Effect of a Real-Time Radiation Monitoring Device on Operator Radiation Exposure During Cardiac Catheterization: The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring Study
BACKGROUND—The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring study sought to examine the effect of a radiation detection device that provides real-time operator dose reporting through auditory feedback (Bleeper Sv; Vertec Scientific Ltd; Berkshire, UK) on patient dose...
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| Veröffentlicht in: | Circulation. Cardiovascular interventions 2014-12, Vol.7 (6), p.744-750 |
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| creator | Christopoulos, Georgios Papayannis, Aristotelis C Alomar, Mohammed Kotsia, Anna Michael, Tesfaldet T Rangan, Bavana V Roesle, Michele Shorrock, Deborah Makke, Lorenza Layne, Ronald Grabarkewitz, Rebecca Haagen, Donald Maragkoudakis, Spyros Mohammad, Atif Sarode, Karan Cipher, Daisha J Chambers, Charles E Banerjee, Subhash Brilakis, Emmanouil S |
| description | BACKGROUND—The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring study sought to examine the effect of a radiation detection device that provides real-time operator dose reporting through auditory feedback (Bleeper Sv; Vertec Scientific Ltd; Berkshire, UK) on patient dose and operator exposure during cardiac catheterization.
METHODS AND RESULTS—Between January 2012 and May 2014, 505 patients undergoing coronary angiography, percutaneous coronary intervention, or both were randomized to use (n=253) or no use (n=252) of the Bleeper Sv radiation monitor. Operator radiation exposure was measured in both groups using a second, silent radiation exposure monitoring device. Mean patient age was 65±8 years, most patients (99%) were men, and 30% had prior coronary artery bypass graft surgery. Baseline clinical characteristics were similar in the 2 study groups. Radial access was used in 18% and chronic total occlusion percutaneous coronary intervention constituted 7% of the total procedures. Median procedure time was 17 (12–27) minutes for diagnostic angiography, 42 (28–70) minutes for percutaneous coronary intervention, and 27 (14–51) minutes in the overall study population, with similar distribution between the study groups. First (9 [4–17] versus 14 [7–25] μSv; P |
| doi_str_mv | 10.1161/CIRCINTERVENTIONS.114.001974 |
| format | Article |
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METHODS AND RESULTS—Between January 2012 and May 2014, 505 patients undergoing coronary angiography, percutaneous coronary intervention, or both were randomized to use (n=253) or no use (n=252) of the Bleeper Sv radiation monitor. Operator radiation exposure was measured in both groups using a second, silent radiation exposure monitoring device. Mean patient age was 65±8 years, most patients (99%) were men, and 30% had prior coronary artery bypass graft surgery. Baseline clinical characteristics were similar in the 2 study groups. Radial access was used in 18% and chronic total occlusion percutaneous coronary intervention constituted 7% of the total procedures. Median procedure time was 17 (12–27) minutes for diagnostic angiography, 42 (28–70) minutes for percutaneous coronary intervention, and 27 (14–51) minutes in the overall study population, with similar distribution between the study groups. First (9 [4–17] versus 14 [7–25] μSv; P<0.001) and second (5 [2–10] versus 7 [4–14] μSv; P<0.001) operator radiation exposure was significantly lower in the Bleeper Sv group. Use of the device did not result in a significant reduction in patient radiation dose. The effect of the Bleeper Sv device on operator radiation exposure was consistent among various study subgroups.
CONCLUSIONS—Use of a real-time radiation monitoring device that provides auditory feedback can significantly reduce operator radiation exposure during cardiac catheterization.
CLINICAL TRIAL REGISTRATION—URLhttp://www.clinicaltrials.gov. Unique identifierNCT01510353.</description><identifier>ISSN: 1941-7640</identifier><identifier>EISSN: 1941-7632</identifier><identifier>DOI: 10.1161/CIRCINTERVENTIONS.114.001974</identifier><identifier>PMID: 25423958</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Aged ; Auditory Perception ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - methods ; Clinical Alarms ; Coronary Angiography - adverse effects ; Coronary Angiography - methods ; Equipment Design ; Feedback, Psychological ; Female ; Humans ; Male ; Middle Aged ; Occupational Diseases - etiology ; Occupational Diseases - prevention & control ; Occupational Exposure - prevention & control ; Occupational Health ; Prospective Studies ; Protective Clothing ; Radiation Dosage ; Radiation Injuries - etiology ; Radiation Injuries - prevention & control ; Radiation Monitoring - instrumentation ; Radiography, Interventional - adverse effects ; Radiography, Interventional - methods ; Texas ; Time Factors</subject><ispartof>Circulation. Cardiovascular interventions, 2014-12, Vol.7 (6), p.744-750</ispartof><rights>2014 American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3214-cc9c1734e82b7fe38ce75ed19bb7ad8bb023b51fc1ec1faaa2979d6d7529ce7d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3687,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25423958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Christopoulos, Georgios</creatorcontrib><creatorcontrib>Papayannis, Aristotelis C</creatorcontrib><creatorcontrib>Alomar, Mohammed</creatorcontrib><creatorcontrib>Kotsia, Anna</creatorcontrib><creatorcontrib>Michael, Tesfaldet T</creatorcontrib><creatorcontrib>Rangan, Bavana V</creatorcontrib><creatorcontrib>Roesle, Michele</creatorcontrib><creatorcontrib>Shorrock, Deborah</creatorcontrib><creatorcontrib>Makke, Lorenza</creatorcontrib><creatorcontrib>Layne, Ronald</creatorcontrib><creatorcontrib>Grabarkewitz, Rebecca</creatorcontrib><creatorcontrib>Haagen, Donald</creatorcontrib><creatorcontrib>Maragkoudakis, Spyros</creatorcontrib><creatorcontrib>Mohammad, Atif</creatorcontrib><creatorcontrib>Sarode, Karan</creatorcontrib><creatorcontrib>Cipher, Daisha J</creatorcontrib><creatorcontrib>Chambers, Charles E</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S</creatorcontrib><title>Effect of a Real-Time Radiation Monitoring Device on Operator Radiation Exposure During Cardiac Catheterization: The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring Study</title><title>Circulation. Cardiovascular interventions</title><addtitle>Circ Cardiovasc Interv</addtitle><description>BACKGROUND—The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring study sought to examine the effect of a radiation detection device that provides real-time operator dose reporting through auditory feedback (Bleeper Sv; Vertec Scientific Ltd; Berkshire, UK) on patient dose and operator exposure during cardiac catheterization.
METHODS AND RESULTS—Between January 2012 and May 2014, 505 patients undergoing coronary angiography, percutaneous coronary intervention, or both were randomized to use (n=253) or no use (n=252) of the Bleeper Sv radiation monitor. Operator radiation exposure was measured in both groups using a second, silent radiation exposure monitoring device. Mean patient age was 65±8 years, most patients (99%) were men, and 30% had prior coronary artery bypass graft surgery. Baseline clinical characteristics were similar in the 2 study groups. Radial access was used in 18% and chronic total occlusion percutaneous coronary intervention constituted 7% of the total procedures. Median procedure time was 17 (12–27) minutes for diagnostic angiography, 42 (28–70) minutes for percutaneous coronary intervention, and 27 (14–51) minutes in the overall study population, with similar distribution between the study groups. First (9 [4–17] versus 14 [7–25] μSv; P<0.001) and second (5 [2–10] versus 7 [4–14] μSv; P<0.001) operator radiation exposure was significantly lower in the Bleeper Sv group. Use of the device did not result in a significant reduction in patient radiation dose. The effect of the Bleeper Sv device on operator radiation exposure was consistent among various study subgroups.
CONCLUSIONS—Use of a real-time radiation monitoring device that provides auditory feedback can significantly reduce operator radiation exposure during cardiac catheterization.
CLINICAL TRIAL REGISTRATION—URLhttp://www.clinicaltrials.gov. Unique identifierNCT01510353.</description><subject>Aged</subject><subject>Auditory Perception</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - methods</subject><subject>Clinical Alarms</subject><subject>Coronary Angiography - adverse effects</subject><subject>Coronary Angiography - methods</subject><subject>Equipment Design</subject><subject>Feedback, Psychological</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational Diseases - prevention & control</subject><subject>Occupational Exposure - prevention & control</subject><subject>Occupational Health</subject><subject>Prospective Studies</subject><subject>Protective Clothing</subject><subject>Radiation Dosage</subject><subject>Radiation Injuries - etiology</subject><subject>Radiation Injuries - prevention & control</subject><subject>Radiation Monitoring - instrumentation</subject><subject>Radiography, Interventional - adverse effects</subject><subject>Radiography, Interventional - methods</subject><subject>Texas</subject><subject>Time Factors</subject><issn>1941-7640</issn><issn>1941-7632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkdtO3DAQhi1EVU59hcoXXHATGjsHx4gLUEjLSrArhcBt5NiTriG7XuwESp-wj4XZpbASUtWrGf3zzUHzI7RPwkNCUvItH5X5aFwV5U0xrkaT8ZWX48MwJJzFG2ib8JgELI3o5lseh1tox7nbMPRySj-jLZrENOJJto3-FG0LssemxQKXILqg0jPApVBa9NrM8aWZ695YPf-Jz-BBS8BenCzACq-uccWvhXGDBXw2LOFcWF-SPvZT6MHq30vuCFfT9fElqEEus3_34Wv3Un2_cO2uq35QT3voUys6B19e4y66_l5U-XlwMfkxyk8vAhlREgdScklYFENGG9ZClElgCSjCm4YJlTVNSKMmIa0kIEkrhKCccZUqllDuURXtooPV3IU19wO4vp5pJ6HrxBzM4GqSRozzjFLu0eMVKq1xzkJbL6yeCftUk7B-8bL-4KWX43rlpW__-rppaGag3pr_mueBkxXwaDr_KXfXDY9g66n_UT_9vx3PJNO3Bw</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Christopoulos, Georgios</creator><creator>Papayannis, Aristotelis C</creator><creator>Alomar, Mohammed</creator><creator>Kotsia, Anna</creator><creator>Michael, Tesfaldet T</creator><creator>Rangan, Bavana V</creator><creator>Roesle, Michele</creator><creator>Shorrock, Deborah</creator><creator>Makke, Lorenza</creator><creator>Layne, Ronald</creator><creator>Grabarkewitz, Rebecca</creator><creator>Haagen, Donald</creator><creator>Maragkoudakis, Spyros</creator><creator>Mohammad, Atif</creator><creator>Sarode, Karan</creator><creator>Cipher, Daisha J</creator><creator>Chambers, Charles E</creator><creator>Banerjee, Subhash</creator><creator>Brilakis, Emmanouil S</creator><general>American Heart Association, Inc</general><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>201412</creationdate><title>Effect of a Real-Time Radiation Monitoring Device on Operator Radiation Exposure During Cardiac Catheterization: The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring Study</title><author>Christopoulos, Georgios ; Papayannis, Aristotelis C ; Alomar, Mohammed ; Kotsia, Anna ; Michael, Tesfaldet T ; Rangan, Bavana V ; Roesle, Michele ; Shorrock, Deborah ; Makke, Lorenza ; Layne, Ronald ; Grabarkewitz, Rebecca ; Haagen, Donald ; Maragkoudakis, Spyros ; Mohammad, Atif ; Sarode, Karan ; Cipher, Daisha J ; Chambers, Charles E ; Banerjee, Subhash ; Brilakis, Emmanouil S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3214-cc9c1734e82b7fe38ce75ed19bb7ad8bb023b51fc1ec1faaa2979d6d7529ce7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Auditory Perception</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - methods</topic><topic>Clinical Alarms</topic><topic>Coronary Angiography - adverse effects</topic><topic>Coronary Angiography - methods</topic><topic>Equipment Design</topic><topic>Feedback, Psychological</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational Diseases - prevention & control</topic><topic>Occupational Exposure - prevention & control</topic><topic>Occupational Health</topic><topic>Prospective Studies</topic><topic>Protective Clothing</topic><topic>Radiation Dosage</topic><topic>Radiation Injuries - etiology</topic><topic>Radiation Injuries - prevention & control</topic><topic>Radiation Monitoring - instrumentation</topic><topic>Radiography, Interventional - adverse effects</topic><topic>Radiography, Interventional - methods</topic><topic>Texas</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Christopoulos, Georgios</creatorcontrib><creatorcontrib>Papayannis, Aristotelis C</creatorcontrib><creatorcontrib>Alomar, Mohammed</creatorcontrib><creatorcontrib>Kotsia, Anna</creatorcontrib><creatorcontrib>Michael, Tesfaldet T</creatorcontrib><creatorcontrib>Rangan, Bavana V</creatorcontrib><creatorcontrib>Roesle, Michele</creatorcontrib><creatorcontrib>Shorrock, Deborah</creatorcontrib><creatorcontrib>Makke, Lorenza</creatorcontrib><creatorcontrib>Layne, Ronald</creatorcontrib><creatorcontrib>Grabarkewitz, Rebecca</creatorcontrib><creatorcontrib>Haagen, Donald</creatorcontrib><creatorcontrib>Maragkoudakis, Spyros</creatorcontrib><creatorcontrib>Mohammad, Atif</creatorcontrib><creatorcontrib>Sarode, Karan</creatorcontrib><creatorcontrib>Cipher, Daisha J</creatorcontrib><creatorcontrib>Chambers, Charles E</creatorcontrib><creatorcontrib>Banerjee, Subhash</creatorcontrib><creatorcontrib>Brilakis, Emmanouil S</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>Circulation. Cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Christopoulos, Georgios</au><au>Papayannis, Aristotelis C</au><au>Alomar, Mohammed</au><au>Kotsia, Anna</au><au>Michael, Tesfaldet T</au><au>Rangan, Bavana V</au><au>Roesle, Michele</au><au>Shorrock, Deborah</au><au>Makke, Lorenza</au><au>Layne, Ronald</au><au>Grabarkewitz, Rebecca</au><au>Haagen, Donald</au><au>Maragkoudakis, Spyros</au><au>Mohammad, Atif</au><au>Sarode, Karan</au><au>Cipher, Daisha J</au><au>Chambers, Charles E</au><au>Banerjee, Subhash</au><au>Brilakis, Emmanouil S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a Real-Time Radiation Monitoring Device on Operator Radiation Exposure During Cardiac Catheterization: The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring Study</atitle><jtitle>Circulation. Cardiovascular interventions</jtitle><addtitle>Circ Cardiovasc Interv</addtitle><date>2014-12</date><risdate>2014</risdate><volume>7</volume><issue>6</issue><spage>744</spage><epage>750</epage><pages>744-750</pages><issn>1941-7640</issn><eissn>1941-7632</eissn><abstract>BACKGROUND—The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring study sought to examine the effect of a radiation detection device that provides real-time operator dose reporting through auditory feedback (Bleeper Sv; Vertec Scientific Ltd; Berkshire, UK) on patient dose and operator exposure during cardiac catheterization.
METHODS AND RESULTS—Between January 2012 and May 2014, 505 patients undergoing coronary angiography, percutaneous coronary intervention, or both were randomized to use (n=253) or no use (n=252) of the Bleeper Sv radiation monitor. Operator radiation exposure was measured in both groups using a second, silent radiation exposure monitoring device. Mean patient age was 65±8 years, most patients (99%) were men, and 30% had prior coronary artery bypass graft surgery. Baseline clinical characteristics were similar in the 2 study groups. Radial access was used in 18% and chronic total occlusion percutaneous coronary intervention constituted 7% of the total procedures. Median procedure time was 17 (12–27) minutes for diagnostic angiography, 42 (28–70) minutes for percutaneous coronary intervention, and 27 (14–51) minutes in the overall study population, with similar distribution between the study groups. First (9 [4–17] versus 14 [7–25] μSv; P<0.001) and second (5 [2–10] versus 7 [4–14] μSv; P<0.001) operator radiation exposure was significantly lower in the Bleeper Sv group. Use of the device did not result in a significant reduction in patient radiation dose. The effect of the Bleeper Sv device on operator radiation exposure was consistent among various study subgroups.
CONCLUSIONS—Use of a real-time radiation monitoring device that provides auditory feedback can significantly reduce operator radiation exposure during cardiac catheterization.
CLINICAL TRIAL REGISTRATION—URLhttp://www.clinicaltrials.gov. Unique identifierNCT01510353.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>25423958</pmid><doi>10.1161/CIRCINTERVENTIONS.114.001974</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1941-7640 |
| ispartof | Circulation. Cardiovascular interventions, 2014-12, Vol.7 (6), p.744-750 |
| issn | 1941-7640 1941-7632 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1637998229 |
| source | MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Auditory Perception Cardiac Catheterization - adverse effects Cardiac Catheterization - methods Clinical Alarms Coronary Angiography - adverse effects Coronary Angiography - methods Equipment Design Feedback, Psychological Female Humans Male Middle Aged Occupational Diseases - etiology Occupational Diseases - prevention & control Occupational Exposure - prevention & control Occupational Health Prospective Studies Protective Clothing Radiation Dosage Radiation Injuries - etiology Radiation Injuries - prevention & control Radiation Monitoring - instrumentation Radiography, Interventional - adverse effects Radiography, Interventional - methods Texas Time Factors |
| title | Effect of a Real-Time Radiation Monitoring Device on Operator Radiation Exposure During Cardiac Catheterization: The Radiation Reduction During Cardiac Catheterization Using Real-Time Monitoring Study |
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