Sökning: WFRF:(Fransson Sven Göran 1949 )
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Evaluation of patie...
Evaluation of patient-absorbed doses during coronary angiography and intervention by femoral and radial artery access
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- Sandborg, Michael, 1961- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Medicinsk radiofysik,Radiofysikavdelningen
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- Fransson, Sven Göran, 1949- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Institutionen för medicin och vård,Kardiologiska kliniken
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- Pettersson, Håkan, 1956- (författare)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Medicinsk radiofysik,Radiofysikavdelningen
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(creator_code:org_t)
- Springer Science and Business Media LLC, 2004
- 2004
- Engelska.
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Ingår i: European Radiology. - : Springer Science and Business Media LLC. - 0938-7994 .- 1432-1084. ; 14:4, s. 653-658
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- The aim of this study was to compare the radiation dose to patients during coronary angiography (CA) and coronary intervention (percutaneous transluminal coronary angioplasty, PTCA) by the femoral or radial artery access routes. A plane-parallel ionisation chamber, mounted on an under-couch X-ray tube (Siemens Coroskop TOP with an optional dose reduction system), recorded the dose-area product (DAP) to the patient from 40 coronary angiographies and 42 coronary interventions by the femoral route. The corresponding numbers for radial access were 36 and 24, respectively. Using a human-shaped phantom, conversion factors between maximum entrance surface dose and DAP were derived for CA and CA plus PTCA, respectively. The dose to the staff was measured with TL dosimeters for 22 examinations. Fluoroscopy time and DAP were significantly (p=0.003) larger using the radial access route for coronary angiography (7.5 min, 51 Gy cm2) than the corresponding values obtained from femoral access route (4.6 min, 38 Gy cm2. For CA plus PTCA the fluoroscopy time and DAP were larger for radial access (18.4 min, 75 Gy cm2) than for femoral access (12.5 min, 47 Gy cm2, p=0.013). In our experience, radial access did significantly prolong the fluoroscopy time and increase the patient doses.
Nyckelord
- cornary angiography
- coronary intervention
- femoral access
- radial access
- patient doses
- fluoroscopy
- MEDICINE
- MEDICIN
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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