Pulse Fluoroscopy Radiation Reduction in a Pediatric Cardiac Catheterization Laboratory
dc.contributor.author | Covi, Stuart H. | en_US |
dc.contributor.author | Whiteside, Wendy | en_US |
dc.contributor.author | Yu, Sunkyung | en_US |
dc.contributor.author | Zampi, Jeffrey D. | en_US |
dc.date.accessioned | 2015-05-04T20:36:31Z | |
dc.date.available | 2016-05-10T20:26:28Z | en |
dc.date.issued | 2015-03 | en_US |
dc.identifier.citation | Covi, Stuart H.; Whiteside, Wendy; Yu, Sunkyung; Zampi, Jeffrey D. (2015). "Pulse Fluoroscopy Radiation Reduction in a Pediatric Cardiac Catheterization Laboratory." Congenital Heart Disease (2): E43-E47. | en_US |
dc.identifier.issn | 1747-079X | en_US |
dc.identifier.issn | 1747-0803 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/111168 | |
dc.description.abstract | ObjectiveTo determine if lower starting pulse fluoroscopy rates lead to lower overall radiation exposure without increasing complication rates or perceived procedure length or difficulty.SettingThe pediatric cardiac catheterization laboratory at University of Michigan Mott Children's Hospital.PatientsPediatric patients with congenital heart disease.Design/InterventionsWe performed a single‐center quality improvement study where the baseline pulse fluoroscopy rate was varied between cases during pediatric cardiac catheterization procedures.Outcome MeasuresIndirect and direct radiation exposure data were collected, and the perceived impact of the fluoroscopy rate and procedural complications was recorded. These outcomes were then compared among the different set pulse fluoroscopy rates.ResultsComparing pulse fluoroscopy rates of 15, 7.5, and 5 frames per second from 61 cases, there was a significant reduction in radiation exposure between 15 and 7.5 frames per second. There was no difference in perceived case difficulty, procedural length, or procedural complications regardless of starting pulse fluoroscopy rate.ConclusionsFor pediatric cardiac catheterizations, a starting pulse fluoroscopy rate of 7.5 frames per second exposes physicians and their patients to significantly less radiation with no impact on procedural difficulty or outcomes. This quality improvement study has resulted in a significant practice change in our pediatric cardiac catheterization laboratory, and 7.5 frames per second is now the default fluoroscopy rate. | en_US |
dc.publisher | International Commission on Radiological Protection | en_US |
dc.publisher | Wiley Periodicals, Inc. | en_US |
dc.subject.other | Dosimetry | en_US |
dc.subject.other | Radiation Physics | en_US |
dc.subject.other | Patient‐Centered Outcomes Research | en_US |
dc.subject.other | Pediatric Diagnostic Catheterization | en_US |
dc.subject.other | Congenital Heart Disease | en_US |
dc.title | Pulse Fluoroscopy Radiation Reduction in a Pediatric Cardiac Catheterization Laboratory | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/111168/1/chd12197.pdf | |
dc.identifier.doi | 10.1111/chd.12197 | en_US |
dc.identifier.source | Congenital Heart Disease | en_US |
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dc.identifier.citedreference | Stewart FA, Hauer‐Jensen M, Kleiman NJ, Akleyev AV, Hendry JH, MacVittie TJ. Early and late effects of radiation in normal tissues and organs: threshold doses for tissue reactions and other non‐cancer effects of radiation in a radiation protection context. Ottawa: International Commission on Radiological Protection; 2011. ICRP ref 4844‐6029‐7736. | en_US |
dc.identifier.citedreference | Fetterly KA, Mathew V, Lennon R, Bell MR, Holmes DR, Rihal CS. Radiation dose reduction in the invasive cardiovascular laboratory: implementing a culture of philosophy of radiation safety. JACC Cardiovasc Interv. 2012; 5: 866 – 873. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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