Direct and Indirect Measurement of Patient Radiation Exposure during Endovascular Aortic Aneurysm Repair

Annals of Vascular Surgery

Volumn 22, Issue 6, 2008, Pages 723-729

  Weiss, Dustin J ^a   Pipinos, Iraklis I ^a   Longo, G Mathew ^a   Lynch, Thomas G ^a   Rutar, Frank J ^a   Johanning, Jason M ^a  

^a UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ADULT; AGED; ARTICLE; BODY MASS; CLINICAL ARTICLE; DOSIMETRY; ENDOVASCULAR SURGERY; FEMALE; FLUOROSCOPY; HUMAN; MALE; OBESITY; PATIENT SAFETY; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION MEASUREMENT; SKIN; SKIN INJURY; TREATMENT DURATION;

AGED; AGED, 80 AND OVER; AORTIC ANEURYSM, ABDOMINAL; AORTOGRAPHY; BLOOD VESSEL PROSTHESIS; BLOOD VESSEL PROSTHESIS IMPLANTATION; BODY MASS INDEX; CINEANGIOGRAPHY; FEMALE; FILM DOSIMETRY; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RADIATION DOSAGE; RADIODERMATITIS; RISK ASSESSMENT; TIME FACTORS;

EID: 55049129290     PISSN: 08905096     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.avsg.2008.06.008     Document Type: Article

References (23)

1. Fletcher D.W., Miller D.L., Balter S., et al. Comparison of four techniques to estimate radiation dose to skin during angiographic and interventional radiology procedures. J. Vasc. Interv. Radiol 13 (2002) 391-397
2. Hirshfield J.W., Balter S., Brinker J.A., et al. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physician Task Force on Clinical Competence Training. Circulation 111 (2005) 511-532
3. Koenig T.R., Mettler F.A., and Wagner L.K. Skin injury from fluoroscopically guided procedures: part 2. Review of 73 cases and recommendations for minimizing dose delivered to patient. A.J.R. Am. J. Roentgenol 177 (2001) 13-20
4. Miller D.L., Balter S., and Wagner L.K. Quality improvement guidelines for recording patient radiation dose in the medical record. J. Vasc. Interv. Radiol 15 (2004) 423-429
5. McParland B.J. Entrance skin dose estimates derived from dose-area-product measurements in interventional radiologic procedures. Br. J. Radiol 71 (1998) 1288-1295
6. Miller D.L., Balter S., Cole P.E., et al. Radiation dose in interventional radiology procedures: the RAD-IR study. Part II: Skin dose. J. Vasc. Interv. Radiol 14 (2003) 977-990
7. Lipsitz E.C., Veith F.J., Ohki T., et al. Does the endovascular repair of aortoiliac aneurysms pose a radiation safety hazard to vascular surgeons?. J. Vasc. Surg 32 (2000) 704-710
8. Balter S. Methods of measuring fluoroscopic skin dose. Pediatr. Radiol 36 (2006) 136-140
9. Miller D.L., Balter S., Noonan P.T., et al. Minimizing radiation-induced skin injury in interventional radiology procedures. Radiology 225 2 (2002) 329-336
10. Koenig T.R., Wolff D., Mettler F.A., et al. Skin injuries from fluoroscopically guided procedures: part 1. Characteristics of radiation injury. A.J.R. Am. J. Roentgenol 177 (2001) 3-11
11. Frazier T.H., Richardson J.B., Fabré V.C., and Callen J.P. Fluoroscopy-induced chronic radiation skin injury. Arch. Dermatol 143 (2007) 637-640
12. Wagner L.K., Archer B.R., and Cohen A.M. Management of patient skin dose in fluoroscopic guided interventional procedures. J. Vasc. Interv. Radiol 11 (2000) 25-33
13. Bryk S.G., Censullo M.L., Wagner L.K., et al. Endovascular and interventional procedures in obese patients: a review of procedural technique modifications and radiation management. J. Vasc. Interv. Radiol 17 (2006) 27-33
14. Geise R.A. Fluoroscopy: recording of fluoroscopic images and automatic exposure control. Radiographics 21 (2001) 227-236
15. World Health Organization. InfoBase Online WHO Global Comparable Estimates for BMI (2005), http://www.who.int/ncd_surveillance/infobase/web/InfoBasePolicyMaker/CountryProfiles/QCStart.aspx (accessed May 29, 2007).
16. Ector J., Dragusin O., Adriaenssens B., et al. Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. J. Am. Coll. Cardiol 50 (2007) 234-242
17. Ho P., Cheng S., Wu P.M., et al. Ionizing radiation absorption of vascular surgeons during endovascular procedures. J. Vasc. Surg 46 (2007) 455-459
18. Nicholson R., Tuffee F., and Uthappa M.C. Skin sparing in interventional radiology: the effect of copper filtration. Br. J. Radiol 73 (2000) 36-42
19. Wagner L.K., and Archer B.R. Minimizing Risks from Fluoroscopic X Rays. Bioeffects, Instrumentation, and Examination. 4th ed. (2004), Partners in Radiation Management, The Woodlands, TX
20. Brenner D.J., Doll R., Goodhead D.T., et al. Cancer risks attributable to low doses of ionizing radiation: assessing what we really know. Proc. Natl. Acad. Sci. USA 100 (2003) 13761-13766
21. Board on Radiation Effects Research, Division on Earth and Life Studies. Executive Summary. Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII-phase 2 (2005), National Academy Press, Washington DC
22. Semelka R.C., Armao D.M., Elias J., and Huda W. Imaging strategies to reduce the risk of radiation in CT studies, including selective substitution with MRI. J. Magn. Reson. Imaging 25 (2007) 900-909
23. Brenner D.J., and Hall E.J. Computed tomography-an increasing source of radiation exposure. N. Engl. J. Med 357 (2007) 2277-2284