Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience

Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators. Consecutive ablation procedures...

Full description

Saved in:
Bibliographic Details
Published in:Herzschrittmachertherapie & Elektrophysiologie 2018-12, Vol.29 (4), p.406-410
Main Authors: Schnur, Miriam, Wannagat, Severin, Loehr, Lena, Lask, Sebastian, Mügge, Andreas, Wutzler, Alexander
Format: Article
Language:ger
Subjects:
Cardiac Electrophysiology
Fluoroscopy
Radiation Dosage
Radiation Exposure
Radiography, Interventional
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 410
container_issue 4
container_start_page 406
container_title Herzschrittmachertherapie & Elektrophysiologie
container_volume 29
creator Schnur, Miriam
Wannagat, Severin
Loehr, Lena
Lask, Sebastian
Mügge, Andreas
Wutzler, Alexander
description Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators. Consecutive ablation procedures with the use of a 3D mapping system were analyzed. Three time periods were analyzed. During the first period (standard), no specific radiation-reduction protocol was used. During the second period (initial phase of radiation reduction) a near "near-zero fluoroscopy" protocol was implemented; however, the majority of procedures were performed by an expert. During the third period (routine use of radiation reduction), less experienced operators (fellow and beginner) performed a growing number of procedures with the "near-zero fluoroscopy" protocol. In all, 290 procedures were analyzed. After implementation of a radiation-reduced protocol, a significant reduction of radiation exposure was observed (standard 850 ± 831.7 vs. initial phase 197.2 ± 481.8 μGy/m , p 
doi_str_mv 10.1007/s00399-018-0589-4
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2096552785</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2096552785</sourcerecordid><originalsourceid>FETCH-LOGICAL-p562-970432f91366086f80fa7a588dde2828eeced10314d3bbb7fbda51f1af98103e3</originalsourceid><addsrcrecordid>eNo1kE9LxDAQxYMg7rr6AbxIjl6iSdO0qTdZ_AcLwrL3kjYTN5I2NUlX99vb1RUezLzhN8PwELpi9JZRWt5FSnlVEcokoUJWJD9Bc5ZzQZjI8xk6j_GDHhDKztCMUyaEKLI5SmulrUrW9ziAHtvfzh6UIOygP3jlMDhoU_DDdh-td_59j-_xGuLoUsQm-A77AYJKPkT8ZdMWa2sMhGkdO9iBi9gbDN8TY6Fv4QKdGuUiXB7rAm2eHjfLF7J6e35dPqzIMP1GqpLmPDMV40VBZWEkNapUQkqtIZOZBGhBM8pZrnnTNKVptBLMMGUqOY2BL9DN39kh-M8RYqo7G1twTvXgx1hntCqEyEopJvT6iI5NB7oegu1U2Nf_QfEfI6lr1g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2096552785</pqid></control><display><type>article</type><title>Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience</title><source>Springer Nature</source><creator>Schnur, Miriam ; Wannagat, Severin ; Loehr, Lena ; Lask, Sebastian ; Mügge, Andreas ; Wutzler, Alexander</creator><creatorcontrib>Schnur, Miriam ; Wannagat, Severin ; Loehr, Lena ; Lask, Sebastian ; Mügge, Andreas ; Wutzler, Alexander</creatorcontrib><description>Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators. Consecutive ablation procedures with the use of a 3D mapping system were analyzed. Three time periods were analyzed. During the first period (standard), no specific radiation-reduction protocol was used. During the second period (initial phase of radiation reduction) a near "near-zero fluoroscopy" protocol was implemented; however, the majority of procedures were performed by an expert. During the third period (routine use of radiation reduction), less experienced operators (fellow and beginner) performed a growing number of procedures with the "near-zero fluoroscopy" protocol. In all, 290 procedures were analyzed. After implementation of a radiation-reduced protocol, a significant reduction of radiation exposure was observed (standard 850 ± 831.7 vs. initial phase 197.2 ± 481.8 μGy/m , p &lt; 0.001, and vs. routine use 283 ± 493.8 μGy/m , p &lt; 0.001). No significant difference was observed between the initial phase and routine phase (p = 1). Over the three periods, the proportion of procedures performed by less experienced operators grew significantly for complex (fellow: 0% vs. 10% vs. 30%; p &lt; 0.001) and noncomplex procedures (fellow: 30% vs. 39% vs. 49%; beginner: 15% vs. 38% vs. 34%; p = 0.002). Complication rates were not significantly different. Implementation of a radiation-reduced protocol leads to a significant reduction of radiation exposure even in less experienced operators during training.</description><identifier>EISSN: 1435-1544</identifier><identifier>DOI: 10.1007/s00399-018-0589-4</identifier><identifier>PMID: 30155562</identifier><language>ger</language><publisher>Germany</publisher><subject>Cardiac Electrophysiology ; Fluoroscopy ; Radiation Dosage ; Radiation Exposure ; Radiography, Interventional</subject><ispartof>Herzschrittmachertherapie &amp; Elektrophysiologie, 2018-12, Vol.29 (4), p.406-410</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30155562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schnur, Miriam</creatorcontrib><creatorcontrib>Wannagat, Severin</creatorcontrib><creatorcontrib>Loehr, Lena</creatorcontrib><creatorcontrib>Lask, Sebastian</creatorcontrib><creatorcontrib>Mügge, Andreas</creatorcontrib><creatorcontrib>Wutzler, Alexander</creatorcontrib><title>Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience</title><title>Herzschrittmachertherapie &amp; Elektrophysiologie</title><addtitle>Herzschrittmacherther Elektrophysiol</addtitle><description>Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators. Consecutive ablation procedures with the use of a 3D mapping system were analyzed. Three time periods were analyzed. During the first period (standard), no specific radiation-reduction protocol was used. During the second period (initial phase of radiation reduction) a near "near-zero fluoroscopy" protocol was implemented; however, the majority of procedures were performed by an expert. During the third period (routine use of radiation reduction), less experienced operators (fellow and beginner) performed a growing number of procedures with the "near-zero fluoroscopy" protocol. In all, 290 procedures were analyzed. After implementation of a radiation-reduced protocol, a significant reduction of radiation exposure was observed (standard 850 ± 831.7 vs. initial phase 197.2 ± 481.8 μGy/m , p &lt; 0.001, and vs. routine use 283 ± 493.8 μGy/m , p &lt; 0.001). No significant difference was observed between the initial phase and routine phase (p = 1). Over the three periods, the proportion of procedures performed by less experienced operators grew significantly for complex (fellow: 0% vs. 10% vs. 30%; p &lt; 0.001) and noncomplex procedures (fellow: 30% vs. 39% vs. 49%; beginner: 15% vs. 38% vs. 34%; p = 0.002). Complication rates were not significantly different. Implementation of a radiation-reduced protocol leads to a significant reduction of radiation exposure even in less experienced operators during training.</description><subject>Cardiac Electrophysiology</subject><subject>Fluoroscopy</subject><subject>Radiation Dosage</subject><subject>Radiation Exposure</subject><subject>Radiography, Interventional</subject><issn>1435-1544</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNo1kE9LxDAQxYMg7rr6AbxIjl6iSdO0qTdZ_AcLwrL3kjYTN5I2NUlX99vb1RUezLzhN8PwELpi9JZRWt5FSnlVEcokoUJWJD9Bc5ZzQZjI8xk6j_GDHhDKztCMUyaEKLI5SmulrUrW9ziAHtvfzh6UIOygP3jlMDhoU_DDdh-td_59j-_xGuLoUsQm-A77AYJKPkT8ZdMWa2sMhGkdO9iBi9gbDN8TY6Fv4QKdGuUiXB7rAm2eHjfLF7J6e35dPqzIMP1GqpLmPDMV40VBZWEkNapUQkqtIZOZBGhBM8pZrnnTNKVptBLMMGUqOY2BL9DN39kh-M8RYqo7G1twTvXgx1hntCqEyEopJvT6iI5NB7oegu1U2Nf_QfEfI6lr1g</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Schnur, Miriam</creator><creator>Wannagat, Severin</creator><creator>Loehr, Lena</creator><creator>Lask, Sebastian</creator><creator>Mügge, Andreas</creator><creator>Wutzler, Alexander</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201812</creationdate><title>Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience</title><author>Schnur, Miriam ; Wannagat, Severin ; Loehr, Lena ; Lask, Sebastian ; Mügge, Andreas ; Wutzler, Alexander</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p562-970432f91366086f80fa7a588dde2828eeced10314d3bbb7fbda51f1af98103e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2018</creationdate><topic>Cardiac Electrophysiology</topic><topic>Fluoroscopy</topic><topic>Radiation Dosage</topic><topic>Radiation Exposure</topic><topic>Radiography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schnur, Miriam</creatorcontrib><creatorcontrib>Wannagat, Severin</creatorcontrib><creatorcontrib>Loehr, Lena</creatorcontrib><creatorcontrib>Lask, Sebastian</creatorcontrib><creatorcontrib>Mügge, Andreas</creatorcontrib><creatorcontrib>Wutzler, Alexander</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Herzschrittmachertherapie &amp; Elektrophysiologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schnur, Miriam</au><au>Wannagat, Severin</au><au>Loehr, Lena</au><au>Lask, Sebastian</au><au>Mügge, Andreas</au><au>Wutzler, Alexander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience</atitle><jtitle>Herzschrittmachertherapie &amp; Elektrophysiologie</jtitle><addtitle>Herzschrittmacherther Elektrophysiol</addtitle><date>2018-12</date><risdate>2018</risdate><volume>29</volume><issue>4</issue><spage>406</spage><epage>410</epage><pages>406-410</pages><eissn>1435-1544</eissn><abstract>Radiation exposure in the catherization laboratory is associated with significant health risks. It is unclear whether a reduction of radiation exposure with the use of "near-zero fluoroscopy" protocols is possible when applied by less experienced operators. Consecutive ablation procedures with the use of a 3D mapping system were analyzed. Three time periods were analyzed. During the first period (standard), no specific radiation-reduction protocol was used. During the second period (initial phase of radiation reduction) a near "near-zero fluoroscopy" protocol was implemented; however, the majority of procedures were performed by an expert. During the third period (routine use of radiation reduction), less experienced operators (fellow and beginner) performed a growing number of procedures with the "near-zero fluoroscopy" protocol. In all, 290 procedures were analyzed. After implementation of a radiation-reduced protocol, a significant reduction of radiation exposure was observed (standard 850 ± 831.7 vs. initial phase 197.2 ± 481.8 μGy/m , p &lt; 0.001, and vs. routine use 283 ± 493.8 μGy/m , p &lt; 0.001). No significant difference was observed between the initial phase and routine phase (p = 1). Over the three periods, the proportion of procedures performed by less experienced operators grew significantly for complex (fellow: 0% vs. 10% vs. 30%; p &lt; 0.001) and noncomplex procedures (fellow: 30% vs. 39% vs. 49%; beginner: 15% vs. 38% vs. 34%; p = 0.002). Complication rates were not significantly different. Implementation of a radiation-reduced protocol leads to a significant reduction of radiation exposure even in less experienced operators during training.</abstract><cop>Germany</cop><pmid>30155562</pmid><doi>10.1007/s00399-018-0589-4</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier EISSN: 1435-1544
ispartof Herzschrittmachertherapie & Elektrophysiologie, 2018-12, Vol.29 (4), p.406-410
issn 1435-1544
language ger
recordid cdi_proquest_miscellaneous_2096552785
source Springer Nature
subjects Cardiac Electrophysiology
Fluoroscopy
Radiation Dosage
Radiation Exposure
Radiography, Interventional
title Radiation reduction in interventional electrophysiology : Results from operators with different levels of experience
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T12%3A01%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Radiation%20reduction%20in%20interventional%20electrophysiology%20:%20Results%20from%20operators%20with%20different%20levels%20of%20experience&rft.jtitle=Herzschrittmachertherapie%20&%20Elektrophysiologie&rft.au=Schnur,%20Miriam&rft.date=2018-12&rft.volume=29&rft.issue=4&rft.spage=406&rft.epage=410&rft.pages=406-410&rft.eissn=1435-1544&rft_id=info:doi/10.1007/s00399-018-0589-4&rft_dat=%3Cproquest_pubme%3E2096552785%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p562-970432f91366086f80fa7a588dde2828eeced10314d3bbb7fbda51f1af98103e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2096552785&rft_id=info:pmid/30155562&rfr_iscdi=true