Impact of a comprehensive safety program on radiation exposure during catheter ablation of atrial fibrillation: A prospective study

Journal of Interventional Cardiac Electrophysiology

Volumn 24, Issue 2, 2009, Pages 105-112

  Lakkireddy, Dhanunjaya ^a   Nadzam, George ^b   Verma, Atul ^c   Prasad, Subramanya ⁱ   Ryschon, Kay ⁱ   Di Biase, Luigi ^f   Khan, Mohammed ^d   Burkhardt, David ^f   Schweikert, Robert ^e   Natale, Andrea ^f,g,h  

^a UNIVERSITY OF KANSAS HOSPITAL   (United States)

^b LERNER RESEARCH INSTITUTE   (United States)

^c SOUTHLAKE REGIONAL HEALTH CENTRE   (Canada)

^d Cardiovascular Associates   (United States)

^e Akron General Hospital   (United States)

^f TEXAS CARDIAC ARRHYTHMIA INSTITUTE   (United States)

^g STANFORD UNIVERSITY   (United States)

^h CASE WESTERN RESERVE UNIVERSITY   (United States)

ⁱ NONE

Author keywords

Ablation; Atrial fibrillation; Pulmonary vein antral isolation; Radiation; Safety

Indexed keywords

ADULT; ARTICLE; BODY MASS; CANCER RISK; CATHETER ABLATION; CLINICAL ARTICLE; CONTROLLED STUDY; ECHOCARDIOGRAPHY; FEMALE; FLUOROSCOPY; HEART ATRIUM FIBRILLATION; HUMAN; MALE; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; RADIATION SAFETY;

ATRIAL FIBRILLATION; BODY BURDEN; CATHETER ABLATION; FEMALE; HUMANS; MALE; MIDDLE AGED; PULMONARY VEINS; RADIATION INJURIES; RADIATION PROTECTION; RADIOGRAPHY, INTERVENTIONAL; RELATIVE BIOLOGICAL EFFECTIVENESS;

EID: 59649127294     PISSN: 1383875X     EISSN: 15728595     Source Type: Journal    
DOI: 10.1007/s10840-008-9316-0     Document Type: Article

References (30)

1. L. Lickfett M. Mahesh C. Vasamreddy 2004 Radiation exposure during catheter ablation of atrial fibrillation Circulation 110 3003 3010
2. B. D. Lindsay J. O. Eichling H. D. Ambos M. E. Cain 1992 Radiation exposure to patients and medical personnel during radiofrequency catheter ablation for supraventricular tachycardia The American Journal of Cardiology 70 218 223
3. L. Macle R. Weerasooriya P. Jais 2003 Radiation exposure during radiofrequency catheter ablation for atrial fibrillation Pacing and Clinical Electrophysiology 26 288 291
4. H. Calkins L. Niklason J. Sousa R. el-Atassi J. Langberg F. Morady 1991 Radiation exposure during radiofrequency catheter ablation of accessory atrioventricular connections Circulation 84 2376 2382
5. A. Verma A. Natale 2005 Should atrial fibrillation ablation be considered first-line therapy for some patients? Why atrial fibrillation ablation should be considered first-line therapy for some patients Circulation 112 1214 1222
6. A. Verma N. F. Marrouche A. Natale 2004 Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique Journal of Cardiovascular Electrophysiology 15 1335 1340
7. O. M. Wazni N. F. Marrouche D. O. Martin 2005 Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation: A randomized trial Journal of the American Medical Association 293 2634 2640
8. M. Haissaguerre P. Jais D. C. Shah 1998 Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins The New England Journal of Medicine 339 659 666
9. C. Pappone S. Rosanio G. Oreto 2000 Circumferential radiofrequency ablation of pulmonary vein ostia: A new anatomic approach for curing atrial fibrillation Circulation 102 2619 2628
10. N. F. Marrouche T. Dresing C. Cole 2002 Circular mapping and ablation of the pulmonary vein for treatment of atrial fibrillation: Impact of different catheter technologies Journal of the American College of Cardiology 40 464 474
11. F. Sacher P. Jais M. Hocini 2004 Catheter ablation of paroxysmal atrial fibrillation Archives des Maladies du Coeur et des Vaisseaux 97 949 956
12. M. Hocini P. Sanders P. Jais 2004 Techniques for curative treatment of atrial fibrillation Journal of Cardiovascular Electrophysiology 15 1467 1471
13. P. Jais M. Hocini F. Sacher J. Clementy M. Haissaguerre 2004 The place of ablation in the treatment of atrial fibrillation: Where are we and where are we going Archives des Maladies du Coeur et des Vaisseaux 97 1071 1077
14. G. T. Nahass 1995 Fluoroscopy and the skin: Implications for radiofrequency catheter ablation The American Journal of Cardiology 76 174 176
15. P. Kovoor M. Ricciardello L. Collins J. B. Uther D. L. Ross 1998 Risk to patients from radiation associated with radiofrequency ablation for supraventricular tachycardia Circulation 98 1534 1540
16. M. Mahesh 2001 Fluoroscopy: Patient radiation exposure issues Radiographics 21 1033 1045
17. L. S. Rosenthal T. J. Beck J. Williams 1997 Acute radiation dermatitis following radiofrequency catheter ablation of atrioventricular nodal reentrant tachycardia Pacing and Clinical Electrophysiology 20 1834 1839
18. Hirschfeld, J., John, Balter, S., Lindsay, B., et al. (2004). ACC/AHA/NASPE-HRS/SCAI Clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically-guided invasive cardiovascular procedures. Vol. 2005, August.
19. Recommendations of the International Commission on Radiological Protection. New York, NY: Pergamon Press; International Commission on Radiological Protection., 1991:1991:46.
20. N. F. Marrouche D. O. Martin O. Wazni 2003 Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: impact on outcome and complications Circulation 107 2710 2716
21. Estimated Benefits of Proposed Amendments to the FDA Radiation-Safety Standard for Diagnostic X-Ray Equipment http://www.fda.gov/cdrh/radhlth/021501- xray.html.
22. Stern, S. (1995). Handbook of selected tissue doses for fluoroscopic and cineangiographic examination of the coronary arteries (SI Units): HHS Publication FDA 95-8289, US Dept. Health and Human Services, Public Health Service, Food and Drug Administration, Center for Devices and Radiological Health, Rockville, MD, September.
23. M. Rosenstein H. Webster 1994 Effective dose to personnel wearing protective aprons during fluoroscopy and interventional radiology Health Physics 67 88 89
24. BEIR VII. Health Risks from Exposure to Low Levels of Ionizing Radiation. Expert consensus report by National Research Council based On Committee to Assess the Health Risks from Exposure to Low Levels of Ionizing Radiation: is available from the National Academies Press, 500 Fifth Street, NW, Washington, DC 20001; 800-624-6242; http://www.nap.edu
25. E. P. Efstathopoulos D. G. Katritsis S. Kottou 2006 Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: A comprehensive analysis Europace 8 6 443 448
26. National Council on Radiation Protection and Measurements (1987). Recommendations on limits for exposure to ionizing radiation. Bethesda, MD: National Council on Radiation Protection and Measurements.
27. K. Perisinakis J. Damilakis N. Theocharopoulos E. Manios P. Vardas N. Gourtsoyiannis 2001 Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures Circulation 104 58 62
28. M. Scanavacca A. d'Avila J. L. Velarde J. B. Reolao E. Sosa 1998 Reduction of radiation exposure time during catheter ablation with the use of pulsed fluoroscopy International Journal of Cardiology 63 71 74
29. F. H. Wittkampf E. F. Wever K. Vos 2000 Reduction of radiation exposure in the cardiac electrophysiology laboratory Pacing and Clinical Electrophysiology 23 1638 1644
30. N. M. de Groot M. Bootsma E. T. van der Velde M. J. Schalij 2000 Three-dimensional catheter positioning during radiofrequency ablation in patients: First application of a real-time position management system Journal of Cardiovascular Electrophysiology 11 1183 1192