Determinants of Greater Peak Radiation Skin Dose in Contemporary Percutaneous Coronary Interventions
Skin radiation injuries, especially radiation ulcers, are serious side effects caused by ionizing radiation during percutaneous coronary interventions (PCI). Because skin radiation injuries are closely associated with the peak skin dose, it is important to minimize the peak skin dose. The aim of the...
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| Veröffentlicht in: | Cardiovascular revascularization medicine 2020-01, Vol.21 (1), p.6-11 |
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| container_title | Cardiovascular revascularization medicine |
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| creator | Hasegawa, Hiroko Sakakura, Kenichi Hamamoto, Kohei Yamamoto, Kei Taniguchi, Yousuke Tsukui, Takunori Seguchi, Masaru Wada, Hiroshi Momomura, Shin-ichi Fujita, Hideo |
| description | Skin radiation injuries, especially radiation ulcers, are serious side effects caused by ionizing radiation during percutaneous coronary interventions (PCI). Because skin radiation injuries are closely associated with the peak skin dose, it is important to minimize the peak skin dose. The aim of the present study was to investigate the determinants of greater peak skin dose in current PCI.
We included 707 consecutive coronary artery lesions, and divided them into an excess radiation group (n = 26; defined as peak skin dose ≥2 Gy) and a standard radiation group (n = 681; defined as peak skin dose |
| doi_str_mv | 10.1016/j.carrev.2019.03.007 |
| format | Article |
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We included 707 consecutive coronary artery lesions, and divided them into an excess radiation group (n = 26; defined as peak skin dose ≥2 Gy) and a standard radiation group (n = 681; defined as peak skin dose <2 Gy). Clinical, lesion, and procedural characteristics were compared between the 2 groups. Univariate and multivariate logistic regression analyses were performed to identify determinants of the excess radiation group.
A multivariate logistic regression analysis revealed that body surface area (BSA) [0.1 m2 increase: odds ratio (OR) 1.39, 95% confidence interval (CI) 1.13–1.71, P < 0.01], PCI to a right coronary artery (RCA) (OR 3.11, 95% CI 1.35–7.17, P < 0.01), and PCI to a chronic total occlusion (CTO) (OR 6.69, 95% CI 2.65–16.87, P < 0.01) were significantly associated with the excess radiation group.
Greater BSA, PCI to RCA lesions, and PCI to CTO lesions were significantly associated with excess radiation dose. The first step in the prevention of radiation injuries in current PCI will be to recognize these risk factors.
•A radiation injury to the patient's skin is a serious side effect during PCI.•It would be important to find the determinants of the greater peak skin dose in PCI.•Greater BSA, PCI to RCA, and PCI to CTO lesions were significant determinants.</description><identifier>ISSN: 1553-8389</identifier><identifier>EISSN: 1878-0938</identifier><identifier>DOI: 10.1016/j.carrev.2019.03.007</identifier><identifier>PMID: 30948291</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Body surface area ; Chronic total occlusion ; Peak skin dose ; Percutaneous coronary intervention ; Radiation</subject><ispartof>Cardiovascular revascularization medicine, 2020-01, Vol.21 (1), p.6-11</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-d5913bfec01fc4fc4dad18f86aad9d2349029e61b82f84c7622df99d46d285353</citedby><cites>FETCH-LOGICAL-c428t-d5913bfec01fc4fc4dad18f86aad9d2349029e61b82f84c7622df99d46d285353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1553838919301691$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30948291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasegawa, Hiroko</creatorcontrib><creatorcontrib>Sakakura, Kenichi</creatorcontrib><creatorcontrib>Hamamoto, Kohei</creatorcontrib><creatorcontrib>Yamamoto, Kei</creatorcontrib><creatorcontrib>Taniguchi, Yousuke</creatorcontrib><creatorcontrib>Tsukui, Takunori</creatorcontrib><creatorcontrib>Seguchi, Masaru</creatorcontrib><creatorcontrib>Wada, Hiroshi</creatorcontrib><creatorcontrib>Momomura, Shin-ichi</creatorcontrib><creatorcontrib>Fujita, Hideo</creatorcontrib><title>Determinants of Greater Peak Radiation Skin Dose in Contemporary Percutaneous Coronary Interventions</title><title>Cardiovascular revascularization medicine</title><addtitle>Cardiovasc Revasc Med</addtitle><description>Skin radiation injuries, especially radiation ulcers, are serious side effects caused by ionizing radiation during percutaneous coronary interventions (PCI). Because skin radiation injuries are closely associated with the peak skin dose, it is important to minimize the peak skin dose. The aim of the present study was to investigate the determinants of greater peak skin dose in current PCI.
We included 707 consecutive coronary artery lesions, and divided them into an excess radiation group (n = 26; defined as peak skin dose ≥2 Gy) and a standard radiation group (n = 681; defined as peak skin dose <2 Gy). Clinical, lesion, and procedural characteristics were compared between the 2 groups. Univariate and multivariate logistic regression analyses were performed to identify determinants of the excess radiation group.
A multivariate logistic regression analysis revealed that body surface area (BSA) [0.1 m2 increase: odds ratio (OR) 1.39, 95% confidence interval (CI) 1.13–1.71, P < 0.01], PCI to a right coronary artery (RCA) (OR 3.11, 95% CI 1.35–7.17, P < 0.01), and PCI to a chronic total occlusion (CTO) (OR 6.69, 95% CI 2.65–16.87, P < 0.01) were significantly associated with the excess radiation group.
Greater BSA, PCI to RCA lesions, and PCI to CTO lesions were significantly associated with excess radiation dose. The first step in the prevention of radiation injuries in current PCI will be to recognize these risk factors.
•A radiation injury to the patient's skin is a serious side effect during PCI.•It would be important to find the determinants of the greater peak skin dose in PCI.•Greater BSA, PCI to RCA, and PCI to CTO lesions were significant determinants.</description><subject>Body surface area</subject><subject>Chronic total occlusion</subject><subject>Peak skin dose</subject><subject>Percutaneous coronary intervention</subject><subject>Radiation</subject><issn>1553-8389</issn><issn>1878-0938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kNtKAzEQhoMoth7eQGQvvdk1hz0kN4K0HgqC4uE6pMkspHaTmmwLvr1ZtnopDMww-f6ZyY_QBcEFwaS-XhVahQC7gmIiCswKjJsDNCW84TkWjB-muqpYzhkXE3QS4wpj1tC6OUYThkXJqSBTZObQQ-isU66PmW-zhwAqdbIXUJ_ZqzJW9da77O3TumzuI2Qpz7zrodv4oMJ3AoPe9sqB38b0ErwbuotEhB24QRzP0FGr1hHO9_kUfdzfvc8e86fnh8Xs9inXJeV9bipB2LIFjUmryxRGGcJbXitlhKGsFJgKqMmS05aXuqkpNa0QpqwN5RWr2Cm6Gudugv_aQuxlZ6OG9Xq8TlKKy1pUNR_QckR18DEGaOUm2C5dLgmWg79yJUd_5eCvxEwmf5Pscr9hu-zA_Il-DU3AzQhA-ufOQpBRW3AajA2ge2m8_X_DD-H8j5M</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Hasegawa, Hiroko</creator><creator>Sakakura, Kenichi</creator><creator>Hamamoto, Kohei</creator><creator>Yamamoto, Kei</creator><creator>Taniguchi, Yousuke</creator><creator>Tsukui, Takunori</creator><creator>Seguchi, Masaru</creator><creator>Wada, Hiroshi</creator><creator>Momomura, Shin-ichi</creator><creator>Fujita, Hideo</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>Determinants of Greater Peak Radiation Skin Dose in Contemporary Percutaneous Coronary Interventions</title><author>Hasegawa, Hiroko ; Sakakura, Kenichi ; Hamamoto, Kohei ; Yamamoto, Kei ; Taniguchi, Yousuke ; Tsukui, Takunori ; Seguchi, Masaru ; Wada, Hiroshi ; Momomura, Shin-ichi ; Fujita, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-d5913bfec01fc4fc4dad18f86aad9d2349029e61b82f84c7622df99d46d285353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Body surface area</topic><topic>Chronic total occlusion</topic><topic>Peak skin dose</topic><topic>Percutaneous coronary intervention</topic><topic>Radiation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasegawa, Hiroko</creatorcontrib><creatorcontrib>Sakakura, Kenichi</creatorcontrib><creatorcontrib>Hamamoto, Kohei</creatorcontrib><creatorcontrib>Yamamoto, Kei</creatorcontrib><creatorcontrib>Taniguchi, Yousuke</creatorcontrib><creatorcontrib>Tsukui, Takunori</creatorcontrib><creatorcontrib>Seguchi, Masaru</creatorcontrib><creatorcontrib>Wada, Hiroshi</creatorcontrib><creatorcontrib>Momomura, Shin-ichi</creatorcontrib><creatorcontrib>Fujita, Hideo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular revascularization medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasegawa, Hiroko</au><au>Sakakura, Kenichi</au><au>Hamamoto, Kohei</au><au>Yamamoto, Kei</au><au>Taniguchi, Yousuke</au><au>Tsukui, Takunori</au><au>Seguchi, Masaru</au><au>Wada, Hiroshi</au><au>Momomura, Shin-ichi</au><au>Fujita, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Greater Peak Radiation Skin Dose in Contemporary Percutaneous Coronary Interventions</atitle><jtitle>Cardiovascular revascularization medicine</jtitle><addtitle>Cardiovasc Revasc Med</addtitle><date>2020-01</date><risdate>2020</risdate><volume>21</volume><issue>1</issue><spage>6</spage><epage>11</epage><pages>6-11</pages><issn>1553-8389</issn><eissn>1878-0938</eissn><abstract>Skin radiation injuries, especially radiation ulcers, are serious side effects caused by ionizing radiation during percutaneous coronary interventions (PCI). Because skin radiation injuries are closely associated with the peak skin dose, it is important to minimize the peak skin dose. The aim of the present study was to investigate the determinants of greater peak skin dose in current PCI.
We included 707 consecutive coronary artery lesions, and divided them into an excess radiation group (n = 26; defined as peak skin dose ≥2 Gy) and a standard radiation group (n = 681; defined as peak skin dose <2 Gy). Clinical, lesion, and procedural characteristics were compared between the 2 groups. Univariate and multivariate logistic regression analyses were performed to identify determinants of the excess radiation group.
A multivariate logistic regression analysis revealed that body surface area (BSA) [0.1 m2 increase: odds ratio (OR) 1.39, 95% confidence interval (CI) 1.13–1.71, P < 0.01], PCI to a right coronary artery (RCA) (OR 3.11, 95% CI 1.35–7.17, P < 0.01), and PCI to a chronic total occlusion (CTO) (OR 6.69, 95% CI 2.65–16.87, P < 0.01) were significantly associated with the excess radiation group.
Greater BSA, PCI to RCA lesions, and PCI to CTO lesions were significantly associated with excess radiation dose. The first step in the prevention of radiation injuries in current PCI will be to recognize these risk factors.
•A radiation injury to the patient's skin is a serious side effect during PCI.•It would be important to find the determinants of the greater peak skin dose in PCI.•Greater BSA, PCI to RCA, and PCI to CTO lesions were significant determinants.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30948291</pmid><doi>10.1016/j.carrev.2019.03.007</doi><tpages>6</tpages></addata></record> |
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| subjects | Body surface area Chronic total occlusion Peak skin dose Percutaneous coronary intervention Radiation |
| title | Determinants of Greater Peak Radiation Skin Dose in Contemporary Percutaneous Coronary Interventions |
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