TY - JOUR
T1 - Radiation reduction in pediatric and adult congenital patients during cardiac catheterization
AU - Mauriello, Daniel A.
AU - Fetterly, Kenneth A.
AU - Lennon, Ryan J.
AU - Reeder, Guy S.
AU - Taggart, Nathaniel W.
AU - Hagler, Donald J.
AU - Cetta, Frank
AU - Cabalka, Allison K.
N1 - Publisher Copyright:
© 2013 Wiley Periodicals, Inc.
Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Methods: Data were retrospectively collected for all procedures involving children and adults with congenital heart disease (CHD) undergoing catheterization over 45 months. Cases were divided into three categories including: noninterventional (NI), simple intervention (SI), and complex intervention (CI). The change in dose was modeled as log of cumulative air kerma (Ka, r). The change in Ka, r was evaluated for each procedural category as well as changes occurring as a function of age and weight.Objectives: Our objective was to determine if technical changes combined with radiation safety initiatives reduced the radiation dose delivered to patients during congenital catheterization.Background: Use of ionizing radiation is necessary during cardiac catheterization. Minimizing radiation dose, while maintaining clinically useful image quality, is an important safety issue. In our congenital heart center intentional practice changes, including technical changes and provider awareness initiatives, were implemented to decrease radiation dose.Results: Considering all procedures (n = 1,082), Ka, r decreased by 61%. In the NI group (n = 481), Ka, r decreased by 71%. In the SI group (n = 424), Ka, r decreased by 74%. The Ka, r for the 10-17 year old group (n = 125) and those >18 years (n = 709) decreased 74 and 67%, respectively. The Ka, r decreased 72 and 66% for those 20-60 kg and ≥60 kg, respectively. Groups not showing significant change in Ka, r included CI, age ≤9 years, and weight ≤20 kg.Conclusions: Through technical changes and provider awareness initiatives, our institution dramatically reduced the radiation dose in the majority of pediatric and adult CHD patients undergoing cardiac catheterization.
AB - Methods: Data were retrospectively collected for all procedures involving children and adults with congenital heart disease (CHD) undergoing catheterization over 45 months. Cases were divided into three categories including: noninterventional (NI), simple intervention (SI), and complex intervention (CI). The change in dose was modeled as log of cumulative air kerma (Ka, r). The change in Ka, r was evaluated for each procedural category as well as changes occurring as a function of age and weight.Objectives: Our objective was to determine if technical changes combined with radiation safety initiatives reduced the radiation dose delivered to patients during congenital catheterization.Background: Use of ionizing radiation is necessary during cardiac catheterization. Minimizing radiation dose, while maintaining clinically useful image quality, is an important safety issue. In our congenital heart center intentional practice changes, including technical changes and provider awareness initiatives, were implemented to decrease radiation dose.Results: Considering all procedures (n = 1,082), Ka, r decreased by 61%. In the NI group (n = 481), Ka, r decreased by 71%. In the SI group (n = 424), Ka, r decreased by 74%. The Ka, r for the 10-17 year old group (n = 125) and those >18 years (n = 709) decreased 74 and 67%, respectively. The Ka, r decreased 72 and 66% for those 20-60 kg and ≥60 kg, respectively. Groups not showing significant change in Ka, r included CI, age ≤9 years, and weight ≤20 kg.Conclusions: Through technical changes and provider awareness initiatives, our institution dramatically reduced the radiation dose in the majority of pediatric and adult CHD patients undergoing cardiac catheterization.
KW - Children
KW - Congenital heart disease
KW - Interventional catheterization
UR - http://www.scopus.com/inward/record.url?scp=84912522742&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84912522742&partnerID=8YFLogxK
U2 - 10.1002/ccd.25533
DO - 10.1002/ccd.25533
M3 - Article
C2 - 24782364
AN - SCOPUS:84912522742
VL - 84
SP - 801
EP - 808
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
SN - 1522-1946
IS - 5
ER -