Retrospective evaluation of occurrence of skin injuries in interventional cardiac procedures

Interventional cardiology procedures can involve high doses to patients and, in particular, to patients' skin, the tissue at greatest risk of deterministic injuries. The evaluation of skin dose from interventional procedures is recommended, but difficult because of the amount of different X-ray...

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Bibliographic Details
Published in:Radiation protection dosimetry 2005-01, Vol.117 (1-3), p.247-250
Main Authors: Padovani, R., Bernardi, G., Quai, E., Signor, M., Toh, H. S., Morocutti, G., Spedicato, L.
Format: Article
Language:English
Subjects:
Aged
Algorithms
Cardiology - methods
Female
Humans
Male
Middle Aged
Radiation Dosage
Radiation Injuries - diagnosis
Radiation Protection
Radiodermatitis - diagnosis
Radiology, Interventional - methods
Retrospective Studies
Skin - injuries
Skin - radiation effects
Time Factors
X-Rays
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Summary:Interventional cardiology procedures can involve high doses to patients and, in particular, to patients' skin, the tissue at greatest risk of deterministic injuries. The evaluation of skin dose from interventional procedures is recommended, but difficult because of the amount of different X-ray fields and projections used in a procedure. For this reason, a retrospective follow-up study has been developed to identify skin injuries in patients submitted to one or more cardiac interventions in the Udine hospital between 1998 and 2002. Seventy-eight patients with a cumulative dose-area product >300 Gy cm2 were selected from 3332 patients, who underwent 5039 procedures. In this group the maximum skin dose was 6.7 Gy. The clinical follow-up, performed using the LENT-SOMA methodology, has not detected skin injuries and this result allows a frequency to be estimated for skin injuries in patients undergoing repeated cardiac procedures of
ISSN:0144-8420
1742-3406
DOI:10.1093/rpd/nci757