Literature DB >> 18446782

Radiation exposure during endovascular aneurysm repair.

R A Weerakkody1, S R Walsh, C Cousins, K E Goldstone, T Y Tang, M E Gaunt.   

Abstract

BACKGROUND: Endovascular stent-grafting is an established option for the repair of abdominal aortic aneurysm (AAA) that can involve prolonged manipulation under radiological control. The aim was to determine the average radiation exposure sustained during endovascular aneurysm repair (EVAR) and the first year of postoperative surveillance.
METHODS: Prospective radiation dose data were recorded and used to calculate dose area product (DAP) values for 96 patients undergoing EVAR. The DAP data were then used to determine the entrance skin dose (ESD), an indicator of potential skin damage, and the effective dose, an indicator of long-term cancer risk, for each patient.
RESULTS: The median ESD during EVAR was 0.85 (interquartile range 0.51-3.74) Gy. The threshold for possible radiation-induced skin damage of 2 Gy was exceeded in 29 per cent of procedures. The effective dose of radiation in the first year following EVAR was 79 mSv.
CONCLUSION: Radiation doses administered during EVAR were higher than previously thought, with a potential risk of radiation-induced skin damage and later malignancy. 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

Entities:  

Mesh:

Year:  2008        PMID: 18446782     DOI: 10.1002/bjs.6229

Source DB:  PubMed          Journal:  Br J Surg        ISSN: 0007-1323            Impact factor:   6.939


  26 in total

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Journal:  Quant Imaging Med Surg       Date:  2014-10

2.  Risk of deterministic effects during endovascular aortic stent graft implantation.

Authors:  D Kuhelj; U Zdesar; V Jevtic; D Skrk; G Omahen; D Zontar; M Surlan; M Glusic; P Popovic; I J Kocijancic; V Salapura
Journal:  Br J Radiol       Date:  2010-11       Impact factor: 3.039

3.  Radiation Exposure in Endovascular Infra-Renal Aortic Aneurysm Repair and Factors that Influence It.

Authors:  Rui Machado; Vitor Miguel Dias Ferreira; Luis Loureiro; João Gonçalves; Pedro Oliveira; Rui Almeida
Journal:  Braz J Cardiovasc Surg       Date:  2016 Nov-Dec

4.  Typical exposure parameters, organ doses and effective doses for endovascular aortic aneurysm repair: Comparison of Monte Carlo simulations and direct measurements with an anthropomorphic phantom.

Authors:  Monika Foerth; Michael C Seidenbusch; Mojtaba Sadeghi-Azandaryani; Ursula Lechel; Karla Maria Treitl; Marcus Treitl
Journal:  Eur Radiol       Date:  2015-04-09       Impact factor: 5.315

5.  Is contrast-enhanced ultrasound (CEUS) superior to computed tomography angiography (CTA) in detection of endoleaks in post-EVAR patients? A systematic review and meta-analysis.

Authors:  Amer Harky; Ewa Zywicka; Giovanni Santoro; Lucas Jullian; Mihika Joshi; Sameh Dimitri
Journal:  J Ultrasound       Date:  2019-02-15

6.  The impact of radiological equipment on patient radiation exposure during endovascular aortic aneurysm repair.

Authors:  Rita Fossaceca; Marco Brambilla; Giuseppe Guzzardi; Paolo Cerini; Alessandra Renghi; Serena Valzano; Piero Brustia; Alessandro Carriero
Journal:  Eur Radiol       Date:  2012-05-23       Impact factor: 5.315

7.  Investigation of reference levels and radiation dose associated with abdominal EVAR (endovascular aneurysm repair) procedures across several European Centres.

Authors:  E Tuthill; L O'Hora; M O'Donohoe; S Panci; P Gilligan; D Campion; R Trenti; E Fox; D Catania; L Rainford
Journal:  Eur Radiol       Date:  2017-05-18       Impact factor: 5.315

8.  Endovascular stent graft repair of abdominal aortic aneurysms: Current status and future directions.

Authors:  Zhonghua Sun
Journal:  World J Radiol       Date:  2009-12-31

9.  Radiation dose during endovascular aneurysm repair (EVAR): upgrade of an angiographic system from standard to Eco mode.

Authors:  Maria Antonella Ruffino; Marco Fronda; Andrea Discalzi; Paola Isoardi; Laura Bergamasco; Roberto Ropolo; Dorico Righi; Paolo Fonio
Journal:  Radiol Med       Date:  2018-07-23       Impact factor: 3.469

10.  Treatment Planning for Image-Guided Neuro-Vascular Interventions Using Patient-Specific 3D Printed Phantoms.

Authors:  M Russ; R O'Hara; S V Setlur Nagesh; M Mokin; C Jimenez; A Siddiqui; D Bednarek; S Rudin; C Ionita
Journal:  Proc SPIE Int Soc Opt Eng       Date:  2015-03-19
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