Promising Radiation Reduction Techniques in Endovascular Aortic Interventions: A Multidisciplinary Consensus
Willemien van de Water1, Cecile R L P N Jeukens2, Michele Antonello3
1Department of Vascular and Endovascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Summary
Reducing radiation exposure during endovascular aortic surgery is crucial. This consensus reviews six techniques like simulation training and fusion imaging to minimize radiation risks for patients and staff.
Area of Science:
- Medical Physics
- Interventional Cardiology
- Surgical Technology
Background:
- Endovascular aortic procedures involve significant radiation exposure.
- Minimizing radiation is a key objective for patient and healthcare worker safety.
Purpose of the Study:
- To present consensus on promising radiation-reducing techniques for endovascular aortic surgery.
- To evaluate the status, radiation reduction potential, and implementation feasibility of these techniques.
Main Methods:
- Focused literature review to identify techniques.
- Consensus discussion among physicians and medical physicists.
- Evaluation of techniques based on current status, radiation impact, and feasibility.
Main Results:
- Six techniques were identified: radiation reduction protocols, simulation training, electromagnetic tracking (EMT), Fiber Optic RealShape (FORS), fusion imaging, and intravascular ultrasound.
- All techniques show potential for radiation reduction, but adoption varies.
- Radiation reduction protocols are easily implemented; EMT and FORS require significant investment and specific hardware.
Conclusions:
- Multiple techniques can contribute to reducing radiation in endovascular aortic surgery.
- Widespread adoption requires balancing radiation reduction potential with implementation barriers.
- Multidisciplinary collaboration and physician education are essential for improving radiation safety.
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