Cardiology 2013 (Full reference info)

Reference Type: Journal Article
Record Number: 840Author: Ahmed, N. A., Ibraheem, S. B. and Habbani, F. I.
Year: 2013
Title: Patient doses in interventional cardiology procedures in Sudan
Journal: Radiat Prot Dosimetry
Volume: 153
Issue: 4
Pages: 425-30
Short Title: Patient doses in interventional cardiology procedures in Sudan
Alternate Journal: Radiation protection dosimetry
ISSN: 1742-3406 (Electronic)
0144-8420 (Linking)
DOI: 10.1093/rpd/ncs119
Accession Number: 22791837
Keywords: Adolescent
Adult
Aged
Aged, 80 and over
Algorithms
Angioplasty, Balloon, Coronary/adverse effects/*methods
Body Mass Index
Calibration
Coronary Angiography/adverse effects/*methods
Fluoroscopy/methods
Humans
Middle Aged
Radiation Dosage
Radiography, Interventional/adverse effects/*methods
Radiometry/*methods
Sudan
X-Rays
Young Adult
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.
Notes: Ahmed, Nada A
Ibraheem, S B
Habbani, F I
eng
Research Support, Non-U.S. Gov’t
England
2012/07/14 06:00
Radiat Prot Dosimetry. 2013;153(4):425-30. doi: 10.1093/rpd/ncs119. Epub 2012 Jul 11.
URL: http://www.ncbi.nlm.nih.gov/pubmed/22791837
Author Address: Radiation Safety Institute, Sudan Atomic Energy Commission, Khartoum, Sudan. nadaabbasa@gmail.com

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