Abstract:
BACKGROUND:Fluoroscopy has been an essential part of every electrophysiological procedure since its inception. However, till now no clear standards regarding acceptable x-ray exposure nor recommendation how to achieve them have been proposed. HYPOTHESIS:Current norms and quality markers required for optimal clinical routine can be identified. METHODS:Centers participating in this Europe-wide multicenter, prospective registry were requested to provide characteristics of the center, operators, technical equipment as well as procedural settings of consecutive cases. RESULTS:Twenty-five centers (72% university clinics, with a mean volume of 526 ± 348 procedures yearly) from 14 European countries provided data on 1788 cases [9% diagnostic procedures (DP), 38% atrial fibrillation (AF) ablations, 44% other supraventricular (SVT) ablations, and 9% ventricular ablations (VT)] conducted by 95 operators (89% male, 41 ± 7 years old). Mean dose area product (DAP) and time was 304 ± 608 cGy*cm2 , 3.6 ± 4.8 minutes, 1937 ± 608 cGy*cm2 , 15.3 ± 15.5 minutes, 805 ± 1442 cGy*cm2 , 10.6 ± 10.7 minutes, and 1277 ± 1931 cGy*cm2 , 10.4 ± 12.3 minutes for DP, AF, SVT, and VT ablations, respectively. Seven percent of all procedures were conducted without any use of fluoroscopy. Procedures in the lower quartile of DAP were performed more frequently by female operators (OR 1.707, 95%CI 1.257-2.318, P = .001), in higher-volume center (OR 1.001 per one additional procedure, 95%CI 1.000-1.001, P = .002), with the use of 3D-mapping system (OR 2.622, 95%CI 2.053-3.347, P < .001) and monoplane x-ray system (OR 2.945, 95%CI 2.149-4.037, P < .001). CONCLUSION:Exposure to ionizing radiation varies widely in daily practice for all procedure. Significant opportunities for harmonization of exposure toward the lower range has been identified.
journal_name
Clin Cardioljournal_title
Clinical cardiologyauthors
Kosiuk J,Fiedler L,Ernst S,Duncker D,Pavlović N,Guarguagli S,Stegmann C,Miskowiec D,Garcia R,Russo V,Yakushev A,Szegedi N,De Potter Tdoi
10.1002/clc.23411subject
Has Abstractpub_date
2021-01-01 00:00:00pages
36-42issue
1eissn
0160-9289issn
1932-8737journal_volume
44pub_type
杂志文章abstract::The usual normal S-T segment of the surface electrocardiogram (ECG) contributes little to the diagnostic procedure. When the S-T segment is too long or too short, or when it is displaced upward or downward, it is commonly abnormal. Under such circumstances, an S-T segment abnormality usually contributes considerable d...
journal_title:Clinical cardiology
pub_type: 杂志文章,评审
doi:10.1002/clc.4960200602
更新日期:1997-06-01 00:00:00
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doi:10.1002/clc.20837
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journal_title:Clinical cardiology
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doi:10.1002/clc.4960220306
更新日期:1999-03-01 00:00:00
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doi:10.1002/clc.22999
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更新日期:1994-02-01 00:00:00
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journal_title:Clinical cardiology
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journal_title:Clinical cardiology
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更新日期:2015-10-01 00:00:00
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更新日期:2020-03-01 00:00:00
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journal_title:Clinical cardiology
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journal_title:Clinical cardiology
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doi:10.1002/clc.4960170307
更新日期:1994-03-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960120203
更新日期:1989-02-01 00:00:00
abstract::Transthoracic echocardiography (TTE) has substantial limitations for the study of abnormalities of the coronary tree. Transesophageal echocardiography (TEE) allows a more complete examination of the coronary arteries, particularly the proximal segments. This report describes the use of TEE after cardiac catheterizatio...
journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960200612
更新日期:1997-06-01 00:00:00
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doi:10.1002/clc.4960241705
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journal_title:Clinical cardiology
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doi:10.1002/clc.4960130812
更新日期:1990-08-01 00:00:00
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journal_title:Clinical cardiology
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doi:10.1002/clc.4960111005
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journal_title:Clinical cardiology
pub_type: 杂志文章,评审
doi:10.1002/clc.4960121203
更新日期:1989-12-01 00:00:00
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journal_title:Clinical cardiology
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doi:10.1002/clc.20060
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:
更新日期:1988-03-01 00:00:00
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journal_title:Clinical cardiology
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doi:10.1002/clc.4960220706
更新日期:1999-07-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960240611
更新日期:2001-06-01 00:00:00
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doi:10.1002/clc.4960230404
更新日期:2000-04-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960120905
更新日期:1989-09-01 00:00:00
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journal_title:Clinical cardiology
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更新日期:1993-06-01 00:00:00