Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures
Objective: To assess the radiation exposure in cardiovascular implantable electronic device(CIED) implantation procedures, the effect of fluoroscopy frame rate on various radiation exposure indices, and in-hospital outcomes. Methods: Data of CIED implantation procedures from September 2015 to Decemb...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Radiation Medicine and Protection |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666555721000587 |
| _version_ | 1827850965661777920 |
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| author | Muzaffar Ali Bharatraj Banavalikar Khalil Kanjwal Milan Kumar Ghadei Anju Kottayan Deepak Padmanabhan Jayaprakash Shenthar |
| author_facet | Muzaffar Ali Bharatraj Banavalikar Khalil Kanjwal Milan Kumar Ghadei Anju Kottayan Deepak Padmanabhan Jayaprakash Shenthar |
| author_sort | Muzaffar Ali |
| collection | DOAJ |
| description | Objective: To assess the radiation exposure in cardiovascular implantable electronic device(CIED) implantation procedures, the effect of fluoroscopy frame rate on various radiation exposure indices, and in-hospital outcomes. Methods: Data of CIED implantation procedures from September 2015 to December 2019 of all the CIED implantation procedures performed at our institute were retrospectively analyzed. The procedural data were divided into two groups: a) pre-group: procedures that were performed under fluoroscopy frame rate of 7.5 frames per second(fps); b) post-group: procedures that were performed under fluoroscopy frame rate of 3.75 fps. We compared procedure time, fluoroscopy time, Kerma air product, effective dose, and in-hospital outcomes between the two groups. Results: A total of 2,225 procedures were included in the analysis with mean age of (62 ± 15) years. The procedures consisted of the implantation of single-chamber (n = 1,436), double chamber (n = 656), and biventricular devices (n = 133). Procedure time and radiation indices showed a significant reduction over the study period (P < 0.001). Reduction in the fluoroscopy frame rate was associated with a significant reduction in radiation exposure indices(P < 0.001). In-hospital outcomes did not differ between the two groups. Conclusions: Reduction in the fluoroscopy frame rate from 7.5 to 3.75 fps significantly decreased the radiation exposure in CIED implantation procedures. A framerate lower than 3.75 fps should be the default setting during such procedures. |
| first_indexed | 2024-03-12T10:25:34Z |
| format | Article |
| id | doaj.art-59d5a9cfd66f4acea347a6df0b0eae9c |
| institution | Directory Open Access Journal |
| issn | 2666-5557 |
| language | English |
| last_indexed | 2024-03-12T10:25:34Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiation Medicine and Protection |
| spelling | doaj.art-59d5a9cfd66f4acea347a6df0b0eae9c2023-09-02T09:44:10ZengElsevierRadiation Medicine and Protection2666-55572021-12-0124176180Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation proceduresMuzaffar Ali0Bharatraj Banavalikar1Khalil Kanjwal2Milan Kumar Ghadei3Anju Kottayan4Deepak Padmanabhan5Jayaprakash Shenthar6Department of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India; Department of Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India; Corresponding author. Department of Cardiology, SKIMS, Srinagar, Kashmir, India.Department of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IndiaDepartment of Cardiology, Division of Clinical Cardiac Electrophysiology, McLaren Greater Lansing Hospital, Michigan, USADepartment of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IndiaDepartment of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IndiaDepartment of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IndiaDepartment of Cardiac Electrophysiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, IndiaObjective: To assess the radiation exposure in cardiovascular implantable electronic device(CIED) implantation procedures, the effect of fluoroscopy frame rate on various radiation exposure indices, and in-hospital outcomes. Methods: Data of CIED implantation procedures from September 2015 to December 2019 of all the CIED implantation procedures performed at our institute were retrospectively analyzed. The procedural data were divided into two groups: a) pre-group: procedures that were performed under fluoroscopy frame rate of 7.5 frames per second(fps); b) post-group: procedures that were performed under fluoroscopy frame rate of 3.75 fps. We compared procedure time, fluoroscopy time, Kerma air product, effective dose, and in-hospital outcomes between the two groups. Results: A total of 2,225 procedures were included in the analysis with mean age of (62 ± 15) years. The procedures consisted of the implantation of single-chamber (n = 1,436), double chamber (n = 656), and biventricular devices (n = 133). Procedure time and radiation indices showed a significant reduction over the study period (P < 0.001). Reduction in the fluoroscopy frame rate was associated with a significant reduction in radiation exposure indices(P < 0.001). In-hospital outcomes did not differ between the two groups. Conclusions: Reduction in the fluoroscopy frame rate from 7.5 to 3.75 fps significantly decreased the radiation exposure in CIED implantation procedures. A framerate lower than 3.75 fps should be the default setting during such procedures.http://www.sciencedirect.com/science/article/pii/S2666555721000587Cardiovascular implantable electronic devicesEffective doseFluoroscopy timeKerma air productPacemakersRadiation exposure |
| spellingShingle | Muzaffar Ali Bharatraj Banavalikar Khalil Kanjwal Milan Kumar Ghadei Anju Kottayan Deepak Padmanabhan Jayaprakash Shenthar Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures Radiation Medicine and Protection Cardiovascular implantable electronic devices Effective dose Fluoroscopy time Kerma air product Pacemakers Radiation exposure |
| title | Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| title_full | Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| title_fullStr | Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| title_full_unstemmed | Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| title_short | Effect of fluoroscopy frame rate on radiation exposure and in-hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| title_sort | effect of fluoroscopy frame rate on radiation exposure and in hospital outcomes in cardiovascular implantable electronic device implantation procedures |
| topic | Cardiovascular implantable electronic devices Effective dose Fluoroscopy time Kerma air product Pacemakers Radiation exposure |
| url | http://www.sciencedirect.com/science/article/pii/S2666555721000587 |
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