Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project

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Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project. / Feghali, Joëlle; Delépierre, Julie; Ciraj-Bjelac, Olivera F.; Dabin, Jérémie; Deleu, Marine; De Monte, Francesca; Dobric, Milan; Gallagher, Aoife; Hadid-Beurrier, Lama; Henry, Patrick; Hrsak, Hrvoje; Kiernan, Tom; Kumar, Rajesh; Knezevic, Zeljka; Maccia, Carlos; Majer, Marija; Malchair, Françoise L.; Noble, Stéphane; Obrad, Davor ; Sans-Mercé, Marta; Sideris, Georgios; Simantirakis, Georgios; Spaulding, Christian; Tarantini, Giuseppe; Van Ngoc Ty, Claire.

In: Acta Radiologica, 27.12.2021, p. 1-11.

Research output: Contribution to journalArticlepeer-review

Harvard

Feghali, J, Delépierre, J, Ciraj-Bjelac, OF, Dabin, J, Deleu, M, De Monte, F, Dobric, M, Gallagher, A, Hadid-Beurrier, L, Henry, P, Hrsak, H, Kiernan, T, Kumar, R, Knezevic, Z, Maccia, C, Majer, M, Malchair, FL, Noble, S, Obrad, D, Sans-Mercé, M, Sideris, G, Simantirakis, G, Spaulding, C, Tarantini, G & Van Ngoc Ty, C 2021, 'Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project', Acta Radiologica, pp. 1-11. https://doi.org/10.1177/02841851211061438

APA

Feghali, J., Delépierre, J., Ciraj-Bjelac, O. F., Dabin, J., Deleu, M., De Monte, F., Dobric, M., Gallagher, A., Hadid-Beurrier, L., Henry, P., Hrsak, H., Kiernan, T., Kumar, R., Knezevic, Z., Maccia, C., Majer, M., Malchair, F. L., Noble, S., Obrad, D., ... Van Ngoc Ty, C. (2021). Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project. Acta Radiologica, 1-11. https://doi.org/10.1177/02841851211061438

Author

Feghali, Joëlle ; Delépierre, Julie ; Ciraj-Bjelac, Olivera F. ; Dabin, Jérémie ; Deleu, Marine ; De Monte, Francesca ; Dobric, Milan ; Gallagher, Aoife ; Hadid-Beurrier, Lama ; Henry, Patrick ; Hrsak, Hrvoje ; Kiernan, Tom ; Kumar, Rajesh ; Knezevic, Zeljka ; Maccia, Carlos ; Majer, Marija ; Malchair, Françoise L. ; Noble, Stéphane ; Obrad, Davor ; Sans-Mercé, Marta ; Sideris, Georgios ; Simantirakis, Georgios ; Spaulding, Christian ; Tarantini, Giuseppe ; Van Ngoc Ty, Claire. / Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project. In: Acta Radiologica. 2021 ; pp. 1-11.

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@article{2bfba5781239461b80b29c05ca140a20,
title = "Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project",
abstract = "BACKGROUND: Patients can be exposed to high skin doses during complex interventional cardiology (IC) procedures. PURPOSE: To identify which clinical and technical parameters affect patient exposure and peak skin dose (PSD) and to establish dose reference levels (DRL) per clinical complexity level in IC procedures. MATERIAL AND METHODS: Validation and Estimation of Radiation skin Dose in Interventional Cardiology (VERIDIC) project analyzed prospectively collected patient data from eight European countries and 12 hospitals where percutaneous coronary intervention (PCI), chronic total occlusion PCI (CTO), and transcatheter aortic valve implantation (TAVI) procedures were performed. A total of 62 clinical complexity parameters and 31 technical parameters were collected, univariate regressions were performed to identify those parameters affecting patient exposure and define DRL accordingly. RESULTS: Patient exposure as well as clinical and technical parameters were collected for a total of 534 PCI, 219 CTO, and 209 TAVI. For PCI procedures, body mass index (BMI), number of stents >/=2, and total stent length >28 mm were the most prominent clinical parameters, which increased the PSD value. For CTO, these were total stent length >57 mm, BMI, and previous anterograde or retrograde technique that failed in the same session. For TAVI, these were male sex, BMI, and number of diseased vessels. DRL values for Kerma-area product (PKA), air kerma at patient entrance reference point (Ka,r), fluoroscopy time (FT), and PSD were stratified, respectively, for 14 clinical parameters in PCI, 10 in CTO, and four in TAVI. CONCLUSION: Prior knowledge of the key factors influencing the PSD will help optimize patient radiation protection in IC.",
keywords = "Interventional cardiology, Peak skin dose, Diagnostic reference levels, VERIDIC",
author = "Jo{\"e}lle Feghali and Julie Del{\'e}pierre and Ciraj-Bjelac, {Olivera F.} and J{\'e}r{\'e}mie Dabin and Marine Deleu and {De Monte}, Francesca and Milan Dobric and Aoife Gallagher and Lama Hadid-Beurrier and Patrick Henry and Hrvoje Hrsak and Tom Kiernan and Rajesh Kumar and Zeljka Knezevic and Carlos Maccia and Marija Majer and Malchair, {Fran{\c c}oise L.} and St{\'e}phane Noble and Davor Obrad and Marta Sans-Merc{\'e} and Georgios Sideris and Georgios Simantirakis and Christian Spaulding and Giuseppe Tarantini and {Van Ngoc Ty}, Claire",
note = "Score=10",
year = "2021",
month = dec,
day = "27",
doi = "10.1177/02841851211061438",
language = "English",
pages = "1--11",
journal = "Acta Radiologica",
issn = "0284-1851",
publisher = "SAGE Publications",

}

RIS - Download

TY - JOUR

T1 - Patient exposure dose in interventional cardiology per clinical and technical complexity levels. Part 1: results of the VERIDIC project

AU - Feghali, Joëlle

AU - Delépierre, Julie

AU - Ciraj-Bjelac, Olivera F.

AU - Dabin, Jérémie

AU - Deleu, Marine

AU - De Monte, Francesca

AU - Dobric, Milan

AU - Gallagher, Aoife

AU - Hadid-Beurrier, Lama

AU - Henry, Patrick

AU - Hrsak, Hrvoje

AU - Kiernan, Tom

AU - Kumar, Rajesh

AU - Knezevic, Zeljka

AU - Maccia, Carlos

AU - Majer, Marija

AU - Malchair, Françoise L.

AU - Noble, Stéphane

AU - Obrad, Davor

AU - Sans-Mercé, Marta

AU - Sideris, Georgios

AU - Simantirakis, Georgios

AU - Spaulding, Christian

AU - Tarantini, Giuseppe

AU - Van Ngoc Ty, Claire

N1 - Score=10

PY - 2021/12/27

Y1 - 2021/12/27

N2 - BACKGROUND: Patients can be exposed to high skin doses during complex interventional cardiology (IC) procedures. PURPOSE: To identify which clinical and technical parameters affect patient exposure and peak skin dose (PSD) and to establish dose reference levels (DRL) per clinical complexity level in IC procedures. MATERIAL AND METHODS: Validation and Estimation of Radiation skin Dose in Interventional Cardiology (VERIDIC) project analyzed prospectively collected patient data from eight European countries and 12 hospitals where percutaneous coronary intervention (PCI), chronic total occlusion PCI (CTO), and transcatheter aortic valve implantation (TAVI) procedures were performed. A total of 62 clinical complexity parameters and 31 technical parameters were collected, univariate regressions were performed to identify those parameters affecting patient exposure and define DRL accordingly. RESULTS: Patient exposure as well as clinical and technical parameters were collected for a total of 534 PCI, 219 CTO, and 209 TAVI. For PCI procedures, body mass index (BMI), number of stents >/=2, and total stent length >28 mm were the most prominent clinical parameters, which increased the PSD value. For CTO, these were total stent length >57 mm, BMI, and previous anterograde or retrograde technique that failed in the same session. For TAVI, these were male sex, BMI, and number of diseased vessels. DRL values for Kerma-area product (PKA), air kerma at patient entrance reference point (Ka,r), fluoroscopy time (FT), and PSD were stratified, respectively, for 14 clinical parameters in PCI, 10 in CTO, and four in TAVI. CONCLUSION: Prior knowledge of the key factors influencing the PSD will help optimize patient radiation protection in IC.

AB - BACKGROUND: Patients can be exposed to high skin doses during complex interventional cardiology (IC) procedures. PURPOSE: To identify which clinical and technical parameters affect patient exposure and peak skin dose (PSD) and to establish dose reference levels (DRL) per clinical complexity level in IC procedures. MATERIAL AND METHODS: Validation and Estimation of Radiation skin Dose in Interventional Cardiology (VERIDIC) project analyzed prospectively collected patient data from eight European countries and 12 hospitals where percutaneous coronary intervention (PCI), chronic total occlusion PCI (CTO), and transcatheter aortic valve implantation (TAVI) procedures were performed. A total of 62 clinical complexity parameters and 31 technical parameters were collected, univariate regressions were performed to identify those parameters affecting patient exposure and define DRL accordingly. RESULTS: Patient exposure as well as clinical and technical parameters were collected for a total of 534 PCI, 219 CTO, and 209 TAVI. For PCI procedures, body mass index (BMI), number of stents >/=2, and total stent length >28 mm were the most prominent clinical parameters, which increased the PSD value. For CTO, these were total stent length >57 mm, BMI, and previous anterograde or retrograde technique that failed in the same session. For TAVI, these were male sex, BMI, and number of diseased vessels. DRL values for Kerma-area product (PKA), air kerma at patient entrance reference point (Ka,r), fluoroscopy time (FT), and PSD were stratified, respectively, for 14 clinical parameters in PCI, 10 in CTO, and four in TAVI. CONCLUSION: Prior knowledge of the key factors influencing the PSD will help optimize patient radiation protection in IC.

KW - Interventional cardiology

KW - Peak skin dose

KW - Diagnostic reference levels

KW - VERIDIC

UR - https://ecm.sckcen.be/OTCS/llisapi.dll/open/47619414

U2 - 10.1177/02841851211061438

DO - 10.1177/02841851211061438

M3 - Article

SP - 1

EP - 11

JO - Acta Radiologica

JF - Acta Radiologica

SN - 0284-1851

ER -

ID: 7376350