Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study
Objective: We aimed to evaluate the safety and efficacy of radiation dose reduction with a new-generation biplane angiocardiography system in patients undergoing transcatheter isolated patent ductus arteriosus (PDA) closure. Materials and methods: Fifty pediatric patients who underwent transcatheter...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024041690 |
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| author | Osman Başpınar Mehmet Kervancıoğlu Metin Kılınç Derya Aydın Şahin Münevver Tuğba Temel |
| author_facet | Osman Başpınar Mehmet Kervancıoğlu Metin Kılınç Derya Aydın Şahin Münevver Tuğba Temel |
| author_sort | Osman Başpınar |
| collection | DOAJ |
| description | Objective: We aimed to evaluate the safety and efficacy of radiation dose reduction with a new-generation biplane angiocardiography system in patients undergoing transcatheter isolated patent ductus arteriosus (PDA) closure. Materials and methods: Fifty pediatric patients who underwent transcatheter PDA closure were randomly divided into two groups as normal radiation dose and low dose. Patients who required additional procedures other than PDA closure were excluded. PDA closure was performed according to the angiographic measurement of the defect. After the procedure, age, weight, sex, PDA measurements, and radiation measurements such as dose-area product (DAP, Gy.cm2) and air kerma (AK, mGy) were compared between the groups. Results: There was no statistically significant difference between the groups in age, sex, weight, PDA diameter, PDA type, device used, and device diameter (p > 0.05). While there was no statistically significant difference between the groups in terms of cine recording, number of recorded images, and fluoroscopy time (p > 0.05), there was a statistically significant difference between the total DAP, cine and fluoroscopy DAP, total AK, frontal and lateral tube AK, and DAP/kg (mGy.m2/kg) measurements (p < 0.05). Conclusion: Transcatheter PDA closure with a low radiation dose is as effective as that with a normal radiation dose. The radiation dose received by the patient during the procedure was significantly reduced. With the vision provided by this study, it seems possible to work with a low radiation dose in other groups of patients. |
| first_indexed | 2024-04-24T16:50:08Z |
| format | Article |
| id | doaj.art-ee6224b7bd28404e807dcdbf64927a18 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T16:50:08Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-ee6224b7bd28404e807dcdbf64927a182024-03-29T05:50:35ZengElsevierHeliyon2405-84402024-04-01107e28138Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled studyOsman Başpınar0Mehmet Kervancıoğlu1Metin Kılınç2Derya Aydın Şahin3Münevver Tuğba Temel4Corresponding author. Osman Baspinar Gaziantep University, Medical Faculty, Department of Pediatric Cardiology, 27310, Gaziantep, Turkey.; Gaziantep University, Faculty of Medicine, Department of Pediatric Cardiology, TurkeyGaziantep University, Faculty of Medicine, Department of Pediatric Cardiology, TurkeyGaziantep University, Faculty of Medicine, Department of Pediatric Cardiology, TurkeyGaziantep University, Faculty of Medicine, Department of Pediatric Cardiology, TurkeyGaziantep University, Faculty of Medicine, Department of Pediatric Cardiology, TurkeyObjective: We aimed to evaluate the safety and efficacy of radiation dose reduction with a new-generation biplane angiocardiography system in patients undergoing transcatheter isolated patent ductus arteriosus (PDA) closure. Materials and methods: Fifty pediatric patients who underwent transcatheter PDA closure were randomly divided into two groups as normal radiation dose and low dose. Patients who required additional procedures other than PDA closure were excluded. PDA closure was performed according to the angiographic measurement of the defect. After the procedure, age, weight, sex, PDA measurements, and radiation measurements such as dose-area product (DAP, Gy.cm2) and air kerma (AK, mGy) were compared between the groups. Results: There was no statistically significant difference between the groups in age, sex, weight, PDA diameter, PDA type, device used, and device diameter (p > 0.05). While there was no statistically significant difference between the groups in terms of cine recording, number of recorded images, and fluoroscopy time (p > 0.05), there was a statistically significant difference between the total DAP, cine and fluoroscopy DAP, total AK, frontal and lateral tube AK, and DAP/kg (mGy.m2/kg) measurements (p < 0.05). Conclusion: Transcatheter PDA closure with a low radiation dose is as effective as that with a normal radiation dose. The radiation dose received by the patient during the procedure was significantly reduced. With the vision provided by this study, it seems possible to work with a low radiation dose in other groups of patients.http://www.sciencedirect.com/science/article/pii/S2405844024041690Patent ductus arteriosusTranscatheter occlusionRadiationDose area productAir kermaChildhood |
| spellingShingle | Osman Başpınar Mehmet Kervancıoğlu Metin Kılınç Derya Aydın Şahin Münevver Tuğba Temel Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study Heliyon Patent ductus arteriosus Transcatheter occlusion Radiation Dose area product Air kerma Childhood |
| title | Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study |
| title_full | Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study |
| title_fullStr | Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study |
| title_full_unstemmed | Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study |
| title_short | Evaluation of the reduction of radiation dose received by pediatric patients in new-generation biplane angiocardiography: Randomized controlled study |
| title_sort | evaluation of the reduction of radiation dose received by pediatric patients in new generation biplane angiocardiography randomized controlled study |
| topic | Patent ductus arteriosus Transcatheter occlusion Radiation Dose area product Air kerma Childhood |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024041690 |
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