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- Titel:
Significant Radiation Dose Reduction Using a Novel Angiography Platform in Patients Undergoing Cryoballoon Pulmonary Vein Isolation.
- Dokumenttyp:
- Article; Journal Article
- Autor(en):
- Schmidt, Martin; Tesche, Christian; Hapfelmeier, Alexander; Finsterer, Sebastian; Valassis, Gregorius; Ebersberger, Ullrich; Schlüter, Mathis; Ziegler, Martin; Kraemer, Bjoern F
- Abstract:
- OBJECTIVES: Cryoballoon pulmonary vein isolation (cPVI) in patients with atrial fibrillation requires fluoroscopic guidance, causing a relevant amount of radiation exposure. Strategies to reduce radiation exposure in electrophysiologic procedures and specifically cPVI are of great importance. The aim of this study was to evaluate a possible reduction of radiation dose using the novel Azurion 7 F12 x-ray system compared with its predecessor Allura FD10. METHODS: In February 2017, the Philips Azurion angiography system was introduced, combining the Allura Clarity radiation dose reduction technology with a more powerful generator, improved image resolution, and a large screen display. In 173 patients undergoing cPVI by a single experienced operator in our institution between December 2016 and April 2018, dose area products (cGy×cm) and image quality were compared using Azurion 7 F12 or Allura FD10 angiography system. RESULTS: A significant reduction in total radiation dose expressed as a dose area products of 524 (332; 821) cGy×cm on the Allura system compared with 309 (224; 432) cGy×cm on the Azurion system was observed (P<0.001). The number of imaging scenes recorded were 14.7 versus 13.9, and mean overall imaging quality scores (grading 4.85±0.4 with Azurion vs. 4.80±0.4 with Allura, P=0.38) and scores based on specific quality parameters were similar in both groups. CONCLUSION: Use of the new Azurion 7 F12 angiography system substantially reduced radiation doses compared with the previous generation reference system, Allura Clarity, without compromising imaging quality in patients undergoing cryoballoon pulmonary vein isolation.
- Zeitschriftentitel:
- J Thorac Imaging
- Jahr:
- 2020
- Band / Volume:
- 35
- Heft / Issue:
- 3
- Seitenangaben Beitrag:
- 167-172
- Volltext / DOI:
- doi:10.1097/RTI.0000000000000441
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/31373946
- Print-ISSN:
- 0883-5993
- TUM Einrichtung:
- Institut für Medizinische Statistik und Epidemiologie
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