SwePub
Tyck till om SwePub Sök här!
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Wells George A.)
 

Sökning: WFRF:(Wells George A.) > Örebro universitet > Impact of Center Ex...

Impact of Center Experience on Patient Radiation Exposure During Transradial Coronary Angiography and Percutaneous Intervention : A Patient-Level, International, Collaborative, Multi-Center Analysis

Simard, Trevor (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Hibbert, Benjamin (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Natarajan, Madhu K. (författare)
Division of Cardiology, Hamilton Health Sciences, Hamilton ON, Canada,Hamilton Health Sciences, Hamilton, Ontario, Canada
visa fler...
Mercuri, Mathew (författare)
Division of Cardiology, Hamilton Health Sciences, Hamilton ON, Canada; Division of Cardiology, Department of Medicine, Columbia University, New York NY, USA
Hetherington, Simon L. (författare)
Kettering General Hospital, Kettering, United Kingdom
Wright, Robert (författare)
James Cook University Hospital, Middlesbrough, United Kingdom
Delewi, Ronak (författare)
Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Piek, Jan J. (författare)
Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Lehmann, Ralf (författare)
Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany
Ruzsa, Zoltán (författare)
Cardiac and Vascular Center, Semmelweis University, Budapest, Hungary
Lange, Helmut W. (författare)
Kardiologisch-Angiologische Praxis Herzzentrum Bremen, Bremen, Germany
Geijer, Håkan, 1961- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Department of Radiology, Örebro University Hospital, Örebro, Sweden,Department of Radiology, School of Medical Sciences, Örebro University, Örebro, Sweden
Sandborg, Michael, 1961- (författare)
Östergötlands Läns Landsting,Linköpings universitet,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Radiofysikavdelningen US,Medicinska fakulteten,Avdelningen för radiologiska vetenskaper
Kansal, Vinay (författare)
Faculty of Undergraduate Medicine, University of Ottawa, Ottawa ON, Canada,Faculty of Undergraduate Medicine, University of Ottawa, Ontario, Canada
Bernick, Jordan (författare)
Cardiovascular Research Methods Center, Ottawa ON, Canada,Cardiovascular Research Methods Center, Ottawa, Ontario, Canada
Di Santo, Pietro (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Pourdjabbar, Ali (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Ramirez, F. Daniel (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Chow, Benjamin J. W. (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Chong, Aun Yeong (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Labinaz, Marino (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
Le May, Michel R. (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada
O'Brien, Edward R. (författare)
Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada
Wells, George A. (författare)
Cardiovascular Research Methods Center, Ottawa ON, Canada,Cardiovascular Research Methods Center, Ottawa, Ontario, Canada
So, Derek (författare)
Division of Cardiology, University of Ottawa Heart Institute, Ottawa ON, Canada,University of Ottawa Heart Institute, Ottawa, Ontario, Canada dso@ottawaheart.ca
visa färre...
 (creator_code:org_t)
Hoboken, USA : Wiley-Blackwell, 2016
2016
Engelska.
Ingår i: Journal of the American Heart Association. - Hoboken, USA : Wiley-Blackwell. - 2047-9980 .- 2047-9980. ; 5:6
Relaterad länk:
https://doi.org/10.1...
visa fler...
https://liu.diva-por... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
visa färre...
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: The adoption of the transradial (TR) approach over the traditional transfemoral (TF) approach has been hampered by concerns of increased radiation exposure-a subject of considerable debate within the field. We performed a patient-level, multi-center analysis to definitively address the impact of TR access on radiation exposure.Methods and Results: Overall, 10 centers were included from 6 countries-Canada (2 centers), United Kingdom (2), Germany (2), Sweden (2), Hungary (1), and The Netherlands (1). We compared the radiation exposure of TR versus TF access using measured dose-area product (DAP). To account for local variations in equipment and exposure, standardized TR:TF DAP ratios were constructed per center with procedures separated by coronary angiography (CA) and percutaneous coronary intervention (PCI). Among 57 326 procedures, we demonstrated increased radiation exposure with the TR versus TF approach, particularly in the CA cohort across all centers (weighted-average ratios: CA, 1.15; PCI, 1.05). However, this was mitigated by increasing TR experience in the PCI cohort across all centers (r=-0.8; P=0.005). Over time, as a center transitioned to increasing TR experience (r=0.9; P=0.001), a concomitant decrease in radiation exposure occurred (r=-0.8; P=0.006). Ultimately, when a center's balance of TR to TF procedures approaches 50%, the resultant radiation exposure was equivalent.Conclusions: The TR approach is associated with a modest increase in patient radiation exposure. However, this increase is eliminated when the TR and TF approaches are used with equal frequency-a guiding principle for centers adopting the TR approach.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

Coronary angiography
dose-area product
percutaneous coronary intervention
radial artery catheterization
radiation
radiation dosing
transfemoral
transradial
Cardiology
Kardiologi

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy