Digital subtraction angiography during transjugular intrahepatic portosystemic shunt creation or revision: data on radiation exposure and image quality obtained using a standard and a low-dose acquisition protocol in a flat-panel detector-based system

Abdominal Imaging

Volumn 40, Issue 6, 2015, Pages 1808-1812

  Miraglia, Roberto ^a   Maruzzelli, Luigi ^a   Cortis, Kelvin ^a   Tafaro, Corrado ^a   Gerasia, Roberta ^a   Parisi, Carmelo ^a   Luca, Angelo ^a  

^a MEDITERRANEAN INSTITUTE FOR TRANSPLANTATION AND ADVANCED SPECIALIZED THERAPIES ISMETT   (Italy)

Author keywords

ALARA principle; Imaging protocol; Radiation exposure; Radiation protection; TIPS

Indexed keywords

ADULT; ANGIOGRAPHY DEVICE; ARTICLE; CLINICAL ARTICLE; CONTROLLED STUDY; DIGITAL SUBTRACTION ANGIOGRAPHY; FLAT PANEL DETECTOR BASED ANGIOGRAPHY DEVICE; HUMAN; IMAGE QUALITY; INTERVENTIONAL RADIOLOGIST; PORTAL VEIN; PRIORITY JOURNAL; PROSPECTIVE STUDY; RADIATION DOSE; RADIATION EXPOSURE; TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT; TREATMENT OUTCOME; AGED; CLINICAL PROTOCOL; COMPARATIVE STUDY; IMAGE PROCESSING; INTERVENTIONAL RADIOLOGY; MIDDLE AGED; REOPERATION;

AGED; ANGIOGRAPHY, DIGITAL SUBTRACTION; CLINICAL PROTOCOLS; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MIDDLE AGED; PHANTOMS, IMAGING; PORTASYSTEMIC SHUNT, TRANSJUGULAR INTRAHEPATIC; PROSPECTIVE STUDIES; RADIATION DOSAGE; RADIOLOGY, INTERVENTIONAL; REOPERATION;

EID: 84938978271     PISSN: 09428925     EISSN: 14320509     Source Type: Journal    
DOI: 10.1007/s00261-014-0313-8     Document Type: Article

References (16)

1. Pitton MB, Kloeckner R, Schneider J, et al. (2012) Radiation exposure in vascular angiographic procedures. J Vasc Interv Radiol 23(11):1487–1495
2. Kuon E, Robinson DM, Empen K, Dahm JB (2005) Fluoroscopy time—an overestimated factor for patient radiation exposure in invasive cardiology. Rofo 177:812–817
3. Miller DL, Balter S, Cole PE, et al. (2003) Radiation doses in interventional radiology procedures: the RAD-IR study: part I: overall measures of dose. J Vasc Interv Radiol 14(6):711–727
4. Zweers D, Geleijns J, Aarts NJ, et al. (1998) Patient and staff radiation dose in fluoroscopy-guided TIPS procedures and dose reduction, using dedicated fluoroscopy exposure settings. Br J Radiol 71(846):672–676
5. Garcia-Pagan JC, Heydtmann M, Raffa S, et al. (2008) TIPS for Budd–Chiari syndrome: long-term results and prognostics factors in 124 patients. Gastroenterology 135(3):808–815
6. Tripathi D, Macnicholas R, Kothari C, et al. (2014) Good clinical outcomes following transjugular intrahepatic portosystemic stent-shunts in Budd–Chiari syndrome. Aliment Pharmacol Ther 39(8):864–872
7. Seijo S, Plessier A, Hoekstra J, et al. (2013) Good long-term outcome of Budd–Chiari syndrome with a step-wise management. Hepatology 57(5):1962–1968
8. Di Giorgio A, Agazzi R, Alberti D, Colledan M, D’Antiga L (2012) Feasibility and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) in children. J Pediatr Gastroenterol Nutr 54(5):594–600
9. Mermuys K, Maleux G, Heye S, Lombaerts R, Nevens F (2008) Use of the Viatorr expanded polytetrafluoroethylene-covered stent-graft for transjugular intrahepatic portosystemic shunt creation in children: initial clinical experience. Cardiovasc Intervent Radiol 31(Suppl 2):S192–196
10. Vo NJ, Shivaram G, Andrews RT, et al. (2012) Midterm follow-up of transjugular intrahepatic portosystemic shunts using polytetrafluoroethylene endografts in children. J Vasc Interv Radiol 23(7):919–924
11. Pillai AK, Joseph AM, Reddick M, Toomay S, Kalva S (2014) Intravascular US-guided transjugular intrahepatic portosystemic shunt creation in a second-trimester pregnancy to prophylactically decompress abdominal wall varices before cesarean section. J Vasc Interv Radiol 25(3):481–483
12. Savage C, Patel J, Lepe MR, Lazarre CH, Rees CR (2007) Transjugular intrahepatic portosystemic shunt creation for recurrent gastrointestinal bleeding during pregnancy. J Vasc Interv Radiol 18(7):902–904
13. Arasaratnam P, Low W, Wilkinson N, Felix C, Beri N, Ho H, Foo D, Ong P (2012) Radiation dose in Asia Pacific region—how low can we go? Paper presented at European Society of Cardiology (ESC) Congress, Aug 25–29, Munich, Germany
14. Miraglia R, Maruzzelli L, Tuzzolino F, Indovina PL, Luca A (2013) Radiation exposure in biliary procedures performed to manage anastomotic strictures in pediatric liver transplant recipients: comparison between radiation exposure levels using an image intensifier and a flat-panel detector-based system. Cardiovasc Interv Radiol 36(6):1670–1676
15. Suzuki S, Furui S, Kobayashi I, et al. (2005) Radiation dose to patients and radiologists during transcatheter arterial embolization: comparison of a digital flat-panel system and conventional unit. Am J Roentgenol 185(4):855–859
16. Soderman M, Holmin S, Andersson T, et al. (2013) Image noise reduction algorithm for digital subtraction angiography: clinical results. Radiology 269(2):553–560