在冠状动脉手术中操作人员的辐射暴露在左远和右常规辐射接入之间
Oh-Hyun Lee1, Ji Woong Roh1, Yongcheol Kim1
1Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, South Korea.
距离辐射接入 (DRA) 和跨辐射接入 (TRA) 在冠状动脉手术期间显示了类似的操作员辐射暴露. 这项研究发现,左侧DRA与右侧TRA之间的手腕,头部或胸部辐射水平没有显著差异.
科学领域:
- 干预心脏病学 干预心脏病学
- 医学中的辐射安全.
- 血管接入技术 血管接入技术
背景情况:
- 远距离辐射接入 (DRA) 在减少血管并发症,提高患者舒适度和缩短静血时间方面提供了潜在的好处.
- 关于与DRA相关的操作员辐射暴露的数据有限.
研究的目的:
- 为了比较左侧远距离辐射接入 (DRA) 和右侧透射接入 (TRA) 之间的操作员辐射暴露.
- 评估二次终点,包括访问站点交叉,光镜时间,手术时间和对比度量.
主要方法:
- 一项前性,多中心的开放性试验随机分配了1010名正在接受冠状动脉手术的患者到左侧DRA或右侧TRA.
- 操作人员的辐射暴露被用左手腕,头部和胸部的剂量计测量.
- 经验丰富的DRA操作员执行了这些程序.
主要成果:
- 在左手腕,头部或胸部的操作员辐射暴露中,在左DRA和右TRA组之间没有发现显著的差异.
- 二级终点,包括访问站点交叉,光镜时间,手术时间和对比度量,也显示两组之间没有显著差异.
结论:
- 左侧DRA和右侧TRA导致在冠状动脉手术期间对关键身体区域的操作员辐射暴露相当.
- 研究结果表明,与传统的TRA相比,DRA不会增加操作员的辐射负担.
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