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首页> 外文期刊>Vascular and endovascular surgery >Modern Fixed Imaging Systems Reduce Radiation Exposure to Patients and Providers
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Modern Fixed Imaging Systems Reduce Radiation Exposure to Patients and Providers

机译：现代固定成像系统可减少患者和提供者的辐射暴露

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High-definition fluoroscopic imaging is required to perform endovascular procedures safely and precisely, especially in complex cases, resulting in longer procedures and increased radiation exposure. This is of importance for training institutions as trainees, even with sound instruction in as low as reasonably achievable (ALARA) principles, tend to have high radiation exposures. Recently, there was an upgrade in the imaging system allowing for comparison of radiation exposure to patients and providers. We performed an analysis of consecutive endovascular aneurysm repair (EVAR) and superficial femoral artery (SFA) interventions in the years 2013 to 2014. We recorded body mass index (BMI) and fluoroscopy time (FT) and subsequently matched 1:1 based on BMI, FT, or both. We determined radiation dose using air kerma (AK) and also recorded individual surgeons’ badge readings. Allura Xper FD20 was upgraded to AlluraClarity with ClarityIQ. We identified a total of 77 EVARs (52 pre and 25 post) and 134 SFA interventions (99 pre and 35 post). Unmatched results for EVAR were BMI pre 26.2 versus post 25.8 (kg/m 2 , P = .325), FT 28.1 versus 21.2 (minutes, P = .051), and AK 1178.5 versus 581 (mGy, P P = .004) for EVAR. Unmatched results for SFA interventions were BMI pre 28.1 versus post 26.6 ( P = .327), FT 18.7 versus 16.2 ( P = .282), and AK 285.6 versus 106.0 ( P P P = .029). Aortic and peripheral endovascular interventions can be performed with reduced radiation exposure to patients and providers, employing modern fixed imaging systems with advanced dose reduction technology. This is of particular importance in the light of the increasing volume and complexity of endovascular and hybrid procedures as well as the prospect of decades of radiation exposure during training and practice.
机译：高清荧光镜成像需要安全，精确地进行血管内程序，特别是在复杂的情况下，导致较长的程序和增加的辐射暴露。这对培训机构作为受训人员的重要性，即使与合理可取的（ALARA）原则一样低，往往具有高辐射曝光。最近，成像系统中升级允许比较患者和提供者的辐射暴露。我们对2013至2014年的连续血管内动脉瘤修复（EVAR）和表面股动脉（SFA）干预进行了分析。我们记录了体重指数（BMI）和透视时间（FT），随后基于BMI匹配1：1 ，英尺或两者。我们使用Air Kerma（AK）确定了辐射剂量，并记录了个体外科医生的徽章读数。 allura xper fd20与Clarityiq升级到aluraclarity。我们确定了共有77个evars（52个前和25个帖子）和134名SFA干预（99个Pre和35篇文章）。 EVAR的无与伦比的结果是BMI前26.2柱25.8（kg / m 2，p = .325），ft 28.1与21.2（分钟，p = .051）和ak 1178.5与581（mgy，pp = .004） Evar。 SFA干预的无与伦比的结果是BMI前28.1柱26.6（P = .327），FT 18.7与16.2（P = .282）和AK 285.6与106.0（P P P = .029）。可以通过减少患者和提供者的辐射暴露，使用具有先进剂量减少技术的现代固定成像系统进行主动脉和周边血管内干预。鉴于血管内和混合动力程序的增加和复杂性以及在训练和实践期间的辐射暴露的前景，这是特别重要的。

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