在内血管腹腔大动脉动脉瘤修复期间患者的辐射暴露
Tim J Mandigers1, Irene Fulgheri2, Giorgia Pugliese3
1Vascular Surgery Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Vascular Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Annals of vascular surgery
|June 25, 2023
概括
患者的BMI,多次手术和逆侧门管时间 (CGCT) 预测在内血管动脉瘤修复 (EVAR) 期间辐射暴露增加. 管理这些因素可以帮助减少患者的辐射剂量.
科学领域:
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
- 辐射安全 辐射安全
背景情况:
- 内血管腹腔大动脉瘤修复 (EVAR) 涉及辐射暴露.
- 了解辐射暴露的预测因素对于患者的安全至关重要.
研究的目的:
- 为了确定患者的特征和在EVAR期间与辐射暴露相关的过程内因素.
- 在EVAR程序中量化辐射剂量及其预测因素.
主要方法:
- 追溯分析99个可选的EVAR程序 (2015-2020年).
- 收集的患者数据,程序细节 (设备类型,CGCT) 和辐射指标 (DAP,光镜时间).
- 使用PCXMC 2.0计算有效剂量 (ED) 和器官剂量;使用回归分析来找到预测因素.
主要成果:
- 更高的剂量区域产物 (DAP) 和有效剂量 (ED) 与更高的体重指数 (BMI) 和更长的逆侧门射时间 (CGCT) 相相关.
- 多次额外手术和特定内移植类型的EVAR与更高的辐射剂量有关.
- 脏,小肠和骨髓获得了最高的器官剂量.
结论:
- 患者的BMI,执行多项额外手术和CGCT是EVAR期间辐射暴露的独立预测指标.
- CGCT是影响辐射剂量的关键程序内因素.
- 这些发现有助于优化EVAR患者的辐射管理策略.
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