Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography
Abstract Introduction Coronary angiogram, while a powerful diagnostic tool in coronary artery disease, is not without an associated risk from ionising radiation. There are a number of factors that influence the amount of radiation the patient receives during the procedure, some of which are under th...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-12-01
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| Series: | Journal of Medical Radiation Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jmrs.293 |
| _version_ | 1818294403228237824 |
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| author | Mohamed Khaldoun Badawy Matthew Scott Omar Farouque Mark Horrigan David J. Clark Robert K. Chan |
| author_facet | Mohamed Khaldoun Badawy Matthew Scott Omar Farouque Mark Horrigan David J. Clark Robert K. Chan |
| author_sort | Mohamed Khaldoun Badawy |
| collection | DOAJ |
| description | Abstract Introduction Coronary angiogram, while a powerful diagnostic tool in coronary artery disease, is not without an associated risk from ionising radiation. There are a number of factors that influence the amount of radiation the patient receives during the procedure, some of which are under the control of the operator. One of these is an adjustment of the fluoroscopic pulse rate. This study aims to assess the feasibility of using ultra‐low pulse rate (3 pulses per second(pps)) fluoroscopy during routine diagnostic coronary angiogram procedures and the effect it has on fluoroscopy time, diagnostic clarity and radiation dose. Methods A retrospective study of three operators each undertaking 50 coronary angiogram procedures was performed. One of the operators used a pulse rate of 3 pps and 6 pps for fluoroscopic screening while the control groups used the standard 10 pps mode utilised at this centre. Results Results demonstrated no reduction of diagnostic clarity, up to a 58% reduction in Dose Area Product and no increase in fluoroscopy time with the 3 pps setting. Conclusions Findings from this pilot study suggest that utilisation of ultra‐low pulse rate fluoroscopy in routine transfemoral diagnostic coronary angiography in the catheterisation laboratory is feasible. |
| first_indexed | 2024-12-13T03:31:12Z |
| format | Article |
| id | doaj.art-9dec3daa97fb4d429b12a72c489aaf35 |
| institution | Directory Open Access Journal |
| issn | 2051-3895 2051-3909 |
| language | English |
| last_indexed | 2024-12-13T03:31:12Z |
| publishDate | 2018-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Medical Radiation Sciences |
| spelling | doaj.art-9dec3daa97fb4d429b12a72c489aaf352022-12-22T00:01:10ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092018-12-0165425225810.1002/jmrs.293Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiographyMohamed Khaldoun Badawy0Matthew Scott1Omar Farouque2Mark Horrigan3David J. Clark4Robert K. Chan5Monash Imaging Monash Health Clayton Victoria AustraliaCardiovascular Procedure Centre Warringal Private Hospital, Ramsay Healthcare Heidelberg Victoria AustraliaDepartment of Cardiology Austin Health Heidelberg Victoria AustraliaDepartment of Cardiology Austin Health Heidelberg Victoria AustraliaDepartment of Cardiology Austin Health Heidelberg Victoria AustraliaDepartment of Cardiology Austin Health Heidelberg Victoria AustraliaAbstract Introduction Coronary angiogram, while a powerful diagnostic tool in coronary artery disease, is not without an associated risk from ionising radiation. There are a number of factors that influence the amount of radiation the patient receives during the procedure, some of which are under the control of the operator. One of these is an adjustment of the fluoroscopic pulse rate. This study aims to assess the feasibility of using ultra‐low pulse rate (3 pulses per second(pps)) fluoroscopy during routine diagnostic coronary angiogram procedures and the effect it has on fluoroscopy time, diagnostic clarity and radiation dose. Methods A retrospective study of three operators each undertaking 50 coronary angiogram procedures was performed. One of the operators used a pulse rate of 3 pps and 6 pps for fluoroscopic screening while the control groups used the standard 10 pps mode utilised at this centre. Results Results demonstrated no reduction of diagnostic clarity, up to a 58% reduction in Dose Area Product and no increase in fluoroscopy time with the 3 pps setting. Conclusions Findings from this pilot study suggest that utilisation of ultra‐low pulse rate fluoroscopy in routine transfemoral diagnostic coronary angiography in the catheterisation laboratory is feasible.https://doi.org/10.1002/jmrs.293Fluoroscopyinterventional cardiologyradiation dose optimisationradiation protection |
| spellingShingle | Mohamed Khaldoun Badawy Matthew Scott Omar Farouque Mark Horrigan David J. Clark Robert K. Chan Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography Journal of Medical Radiation Sciences Fluoroscopy interventional cardiology radiation dose optimisation radiation protection |
| title | Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| title_full | Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| title_fullStr | Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| title_full_unstemmed | Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| title_short | Feasibility of using ultra‐low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| title_sort | feasibility of using ultra low pulse rate fluoroscopy during routine diagnostic coronary angiography |
| topic | Fluoroscopy interventional cardiology radiation dose optimisation radiation protection |
| url | https://doi.org/10.1002/jmrs.293 |
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