Characterization of radiation exposure and effect of a radiation monitoring policy in a large volume pediatric cardiac catheterization lab

Catheterization and Cardiovascular Interventions

Volumn 79, Issue 2, 2012, Pages 294-301

  Verghese, George R ^a   McElhinney, Doff B ^a   Strauss, Keith J ^a   Bergersen, Lisa ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

complications; fluoroscopy; outcomes; quality improvement

Indexed keywords

ADOLESCENT; AGE DISTRIBUTION; AORTIC VALVE REPAIR; ARTICLE; CARDIOVASCULAR PROCEDURES; CHILD; CLINICAL ASSESSMENT; COMPARATIVE STUDY; CONGENITAL HEART DISEASE; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; HEALTH CARE POLICY; HEART ATRIUM SEPTUM DEFECT; HEART CATHETERIZATION; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; PATIENT CODING; PATIENT SAFETY; PRESCHOOL CHILD; PULMONARY ARTERY; PULMONARY VALVULOPLASTY; PULMONARY VEIN; RADIATION DOSE; RADIATION EXPOSURE; RADIATION MONITORING; RADIATION SAFETY; RETROSPECTIVE STUDY; SCHOOL CHILD;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; FEMALE; FLUOROSCOPY; HEALTH POLICY; HEART CATHETERIZATION; HEART DISEASES; HUMANS; INFANT; LABORATORIES, HOSPITAL; MALE; RADIATION DOSAGE; RADIATION MONITORING; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS;

EID: 84856289843     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.23118     Document Type: Article

References (18)

1. Onnasch DGW, Schroder FK, Fischer G, Kramer H-H,. Diagnostic reference levels and effective dose in pediatric cardiac catheterization. Br J Radiol 2007; 80: 177-185. (Pubitemid 47007808)
2. Al-Haj AN, Lobriguito AM, Rafeh W,. Variation in Radiation doses in paediatric cardiac catheterisation procedures. Radiat Protect Dosimetry 2008; 129: 173-178.
3. Martinez LC, Vano E, Gutierrez F, Rodriguez C, Gilarranz R, Manzanas MJ,. Patient doses from fluoroscopically guided cardiac procedures in pediatrics. Phys Med Biol 2007; 52: 4749-4759. (Pubitemid 47232285)
4. Rassow J, Schmaltz AA, Hentrich F, Streffer C,. Effective doses to patients from pediatric cardiac catheterization. Br J Radiol 2000; 73: 172-183. (Pubitemid 30179226)
5. Dragusin O, Gewillig M, Desmet W, Smans K, Struelens L, Bosmans H,. Radiation dose survey in a paediatric cardiac catheterisation laboratory equipped with flat-panel detectors. Radiat Protect Dosimetry 2008; 129: 91-95.
6. Bacher K, Bogaert E, Lapere R, De Wolf D, Thierens H,. Patient-specific dose and radiation risk estimation in pediatric cardiac catheterization. Circulation 2005; 111: 83-89. (Pubitemid 40070848)
7. Li LB, Kai M, Kusama T,. Radiation exposure to patients during paediatric cardiac catheterisation. Radiat Protect Dosimetry 2001; 94: 323-327. (Pubitemid 32479441)
8. Boothroyd A, McDonald E, Moores BM, Sluming V, Carty H,. Radiation exposure to children during cardiac catheterization. Br J Radiol 1997; 70: 180-185. (Pubitemid 27091020)
9. Bergersen L, Gauvreau K, Jenkins KJ, Lock JE,. Adverse event rates in congenital cardiac catheterization: A new understanding of risk. Congenit Heart Dis 2008; 3: 90-105. (Pubitemid 351467911)
10. Strauss KJ,. Pediatric interventional radiography equipment: Safety considerations. Pediatr Radiol 2006; 36 (Suppl 2): 126-135.
11. Strauss KJ,. 1998. Cardiac catheterization equipment requirements: Pediatric catheterization laboratory considerations. In:, Nickoloff E, Strauss KJ, editors. A Categorical Course in Diagnostic Radiology Physics: Cardiac Catheterization Imaging. Oak Brook, IL: RSNA; 1998. pp 105-119.
12. th, 2009 at http://www. jointcommission.org/SentinelEvents.)
13. Allen HD, Beekman RH, Garson A, et al. Pediatric therapeutic cardiac catheterization. Circulation 1998; 97: 609-625.
14. th, 2009 at http://www.cancer.gov/cancertopics/causes/radiation- risks-pediatric-ct.)
15. Beels L, Bacher K, De Wolf D, Werbrouck J, Thierens H,. Gamma-H2AX foci as a biomarker for patient X-ray exposure in pediatric cardiac catheterization: Are we underestimating radiation risks? Circulation 2009; 120: 1903-1909.
16. Andreassi MG, Lamia A, Botto N, Manfredi S, Mottola G, Picano E,. Cardiac catheterization and long-term chromosomal damage in children with congenital heart disease. Eur Heart J 2006; 27: 2703-2708. (Pubitemid 44729872)
17. National Council on Radiation Protection and Measurements. Evaluation of the linear-nonthreshold dose-response model for ionizing radiation. Bethesda, MD: National Council on Radiation Protection and Measurements; NCRP Report No. 136; 2001.
18. Justino H,. The ALARA concept in pediatric cardiac catheterization: Techniques and tactics for managing radiation dose. Pediatric Radiol 2006; 36 (Suppl 2): 146-153.