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Predictors of prolonged fluoroscopy time in diagnostic coronary angiography

Yusuke Adachi1, Kenichi Sakakura1, Hiroshi Wada1

  • 1Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama City, Japan.

Journal of Cardiology
|March 21, 2016
PubMed

Insights

Prior ascending aorta replacement surgery and moderate to severe aortic regurgitation significantly predict prolonged fluoroscopy time during coronary angiography, impacting patient and physician safety.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Prolonged fluoroscopy time during coronary angiography poses risks to both interventional cardiologists and patients.
  • Factors influencing extended fluoroscopy duration remain unclear.

Purpose of the Study:

  • To identify predictors of prolonged fluoroscopy time in patients undergoing diagnostic coronary angiography.

Main Methods:

  • A total of 458 patients were analyzed, categorizing them into prolonged (fluoroscopy time ≥15.7 min) and non-prolonged (<15.7 min) groups.
  • Univariate and multivariate logistic regression analyses were employed to determine significant predictors.

Main Results:

  • Mean fluoroscopy time was 8.5±5.8 min.
  • Multivariate analysis revealed prior ascending aorta replacement surgery (OR 11.46) and moderate to severe aortic regurgitation (OR 2.83) as significant predictors of prolonged fluoroscopy time.

Conclusions:

  • Prior ascending aorta replacement and moderate to severe aortic regurgitation are key factors associated with increased fluoroscopy time in coronary angiography.
Abstract

Keywords:
Aortic regurgitationAscending aorta replacementCoronary angiographyEchocardiographyProlonged fluoroscopy time

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