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dc.creatorSiiskonen, Teemu
dc.creatorCiraj-Bjelac, Olivera
dc.creatorDabin, Jeremie
dc.creatorDiklić, Ana
dc.creatorDomienik-Andrzejewska, Joanna
dc.creatorFarah, Jad
dc.creatorFernandez, Jose Miguel
dc.creatorGallagher, Aoife
dc.creatorHourdakis, Constantine J.
dc.creatorJurković, Slaven
dc.creatorJarvinen, Hannu
dc.creatorJarvinen, J.
dc.creatorKnežević, Željka
dc.creatorKoukorava, Christina
dc.creatorMaccia, Carlo
dc.creatorMajer, Marija
dc.creatorMalchair, Francoise
dc.creatorRiccardi, Lucia
dc.creatorRizk, C.
dc.creatorSanchez, Roberto Mariano
dc.creatorSandborg, Michael
dc.creatorMerce, Marta Sans
dc.creatorSegota, D.
dc.creatorSierpowska, Joanna
dc.creatorSimantirakis, George
dc.creatorSukupova, Lucie
dc.creatorThrapsanioti, Zoi
dc.creatorVano, Eliseo
dc.date.accessioned2018-10-25T12:35:16Z
dc.date.available2018-10-25T12:35:16Z
dc.date.issued2018
dc.identifier.issn1120-1797 (print)
dc.identifier.issn1724-191X (electronic)
dc.identifier.urihttps://linkinghub.elsevier.com/retrieve/pii/S1120179718311748
dc.identifier.urihttp://vinar.vin.bg.ac.rs/handle/123456789/7889
dc.description.abstractInterventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm2), percutaneous coronary intervention (PCI, 85 Gy cm2), transcatheter aortic valve implantation (TAVI, 130 Gy cm2), electrophysiological procedures (12 Gy cm2) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm2) and dual chamber (3.5 Gy cm2) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm2). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology. © 2018 Associazione Italiana di Fisica Medica
dc.rightsrestrictedAccess
dc.sourcePhysica Medica
dc.subjectDiagnostic reference levelsen
dc.subjectinterventional cardiologyen
dc.titleEstablishing the European diagnostic reference levels for interventional cardiologyen
dc.typearticleen
dc.rights.licenseARR
dcterms.abstractЈäрвинен, Х.; Јäрвинен, Ј; Кнежевић, Ж; Коукорава, Ц; Мацциа, Ц; Мајер, М; Малцхаир, Ф; Дабин, Ј; Фарах, Ј; Сиисконен, Т; Цирај-Бјелац, О; Диклиц, A; Домиеник-Aндрзејеwска, Ј; Фернандез, Ј.М.; Галлагхер, A; Хоурдакис, Ц.Ј.; Јурковиц, С; Риццарди, Л; Ризк, Ц; Санцхез, Р; Сандборг, М; Мерце, М Санс; Сегота, Д; Сиерпоwска, Ј; Симантиракис, Г; Сукупова, Л; Тхрапсаниоти, З; Вано, Е;
dc.rights.holder© 2018 Associazione Italiana di Fisica Medica
dc.citation.volume54
dc.citation.spage42
dc.citation.epage48
dc.identifier.wos000447271300006
dc.identifier.doi10.1016/j.ejmp.2018.09.012
dc.identifier.pmid30337009
dc.type.versionpublishedVersion
dc.identifier.scopus2-s2.0-85053916243


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