PortalPublikationenLeft Atrial Appendage Closure Guided by Integrated Echocardi...

Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure

Standard

Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure. / Jungen, Christiane; Zeus, Tobias; Balzer, Jan; Eickholt, Christian; Petersen, Margot; Kehmeier, Eva; Veulemans, Verena; Kelm, Malte; Willems, Stephan; Meyer, Christian.

in: PLOS ONE, Jahrgang 10, Nr. 10, 2015, S. e0140386.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Jungen, C, Zeus, T, Balzer, J, Eickholt, C, Petersen, M, Kehmeier, E, Veulemans, V, Kelm, M, Willems, S & Meyer, C 2015, 'Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure', PLOS ONE, Jg. 10, Nr. 10, S. e0140386. https://doi.org/10.1371/journal.pone.0140386

APA

Jungen, C., Zeus, T., Balzer, J., Eickholt, C., Petersen, M., Kehmeier, E., Veulemans, V., Kelm, M., Willems, S., & Meyer, C. (2015). Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure. PLOS ONE, 10(10), e0140386. https://doi.org/10.1371/journal.pone.0140386

Vancouver

Jungen C, Zeus T, Balzer J, Eickholt C, Petersen M, Kehmeier E et al. Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure. PLOS ONE. 2015;10(10):e0140386. https://doi.org/10.1371/journal.pone.0140386

Bibtex

@article{6ff2b7ccdc9e434d9f78cfcc5a7541b2,
title = "Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure",
abstract = "AIMS: To investigate whether percutaneous left atrial appendage (LAA) closure guided by automated real-time integration of 2D-/3D-transesophageal echocardiography (TEE) and fluoroscopy imaging results in decreased radiation exposure.METHODS AND RESULTS: In this open-label single-center study LAA closure (AmplatzerTM Cardiac Plug) was performed in 34 consecutive patients (8 women; 73.1±8.5 years) with (n = 17, EN+) or without (n = 17, EN-) integrated echocardiography/fluoroscopy imaging guidance (EchoNavigator{\textregistered} [EN]; Philips Healthcare). There were no significant differences in baseline characteristics between both groups. Successful LAA closure was documented in all patients. Radiation dose was reduced in the EN+ group about 52% (EN+: 48.5±30.7 vs. EN-: 93.9±64.4 Gy/cm2; p = 0.01). Corresponding to the radiation dose fluoroscopy time was reduced (EN+: 16.7±7 vs. EN-: 24.0±11.4 min; p = 0.035). These advantages were not at the cost of increased procedure time (89.6±28.8 vs. 90.1±30.2 min; p = 0.96) or periprocedural complications. Contrast media amount was comparable between both groups (172.3±92.7 vs. 197.5±127.8 ml; p = 0.53). During short-term follow-up of at least 3 months (mean: 8.1±5.9 months) no device-related events occurred.CONCLUSIONS: Automated real-time integration of echocardiography and fluoroscopy can be incorporated into procedural work-flow of percutaneous left atrial appendage closure without prolonging procedure time. This approach results in a relevant reduction of radiation exposure.TRIAL REGISTRATION: ClinicalTrials.gov NCT01262508.",
keywords = "Aged, Aged, 80 and over, Atrial Appendage/diagnostic imaging, Echocardiography, Endosonography, Female, Fluoroscopy, Humans, Male, Middle Aged, Multimodal Imaging, Radiation Dosage",
author = "Christiane Jungen and Tobias Zeus and Jan Balzer and Christian Eickholt and Margot Petersen and Eva Kehmeier and Verena Veulemans and Malte Kelm and Stephan Willems and Christian Meyer",
year = "2015",
doi = "10.1371/journal.pone.0140386",
language = "English",
volume = "10",
pages = "e0140386",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

RIS

TY - JOUR

T1 - Left Atrial Appendage Closure Guided by Integrated Echocardiography and Fluoroscopy Imaging Reduces Radiation Exposure

AU - Jungen, Christiane

AU - Zeus, Tobias

AU - Balzer, Jan

AU - Eickholt, Christian

AU - Petersen, Margot

AU - Kehmeier, Eva

AU - Veulemans, Verena

AU - Kelm, Malte

AU - Willems, Stephan

AU - Meyer, Christian

PY - 2015

Y1 - 2015

N2 - AIMS: To investigate whether percutaneous left atrial appendage (LAA) closure guided by automated real-time integration of 2D-/3D-transesophageal echocardiography (TEE) and fluoroscopy imaging results in decreased radiation exposure.METHODS AND RESULTS: In this open-label single-center study LAA closure (AmplatzerTM Cardiac Plug) was performed in 34 consecutive patients (8 women; 73.1±8.5 years) with (n = 17, EN+) or without (n = 17, EN-) integrated echocardiography/fluoroscopy imaging guidance (EchoNavigator® [EN]; Philips Healthcare). There were no significant differences in baseline characteristics between both groups. Successful LAA closure was documented in all patients. Radiation dose was reduced in the EN+ group about 52% (EN+: 48.5±30.7 vs. EN-: 93.9±64.4 Gy/cm2; p = 0.01). Corresponding to the radiation dose fluoroscopy time was reduced (EN+: 16.7±7 vs. EN-: 24.0±11.4 min; p = 0.035). These advantages were not at the cost of increased procedure time (89.6±28.8 vs. 90.1±30.2 min; p = 0.96) or periprocedural complications. Contrast media amount was comparable between both groups (172.3±92.7 vs. 197.5±127.8 ml; p = 0.53). During short-term follow-up of at least 3 months (mean: 8.1±5.9 months) no device-related events occurred.CONCLUSIONS: Automated real-time integration of echocardiography and fluoroscopy can be incorporated into procedural work-flow of percutaneous left atrial appendage closure without prolonging procedure time. This approach results in a relevant reduction of radiation exposure.TRIAL REGISTRATION: ClinicalTrials.gov NCT01262508.

AB - AIMS: To investigate whether percutaneous left atrial appendage (LAA) closure guided by automated real-time integration of 2D-/3D-transesophageal echocardiography (TEE) and fluoroscopy imaging results in decreased radiation exposure.METHODS AND RESULTS: In this open-label single-center study LAA closure (AmplatzerTM Cardiac Plug) was performed in 34 consecutive patients (8 women; 73.1±8.5 years) with (n = 17, EN+) or without (n = 17, EN-) integrated echocardiography/fluoroscopy imaging guidance (EchoNavigator® [EN]; Philips Healthcare). There were no significant differences in baseline characteristics between both groups. Successful LAA closure was documented in all patients. Radiation dose was reduced in the EN+ group about 52% (EN+: 48.5±30.7 vs. EN-: 93.9±64.4 Gy/cm2; p = 0.01). Corresponding to the radiation dose fluoroscopy time was reduced (EN+: 16.7±7 vs. EN-: 24.0±11.4 min; p = 0.035). These advantages were not at the cost of increased procedure time (89.6±28.8 vs. 90.1±30.2 min; p = 0.96) or periprocedural complications. Contrast media amount was comparable between both groups (172.3±92.7 vs. 197.5±127.8 ml; p = 0.53). During short-term follow-up of at least 3 months (mean: 8.1±5.9 months) no device-related events occurred.CONCLUSIONS: Automated real-time integration of echocardiography and fluoroscopy can be incorporated into procedural work-flow of percutaneous left atrial appendage closure without prolonging procedure time. This approach results in a relevant reduction of radiation exposure.TRIAL REGISTRATION: ClinicalTrials.gov NCT01262508.

KW - Aged

KW - Aged, 80 and over

KW - Atrial Appendage/diagnostic imaging

KW - Echocardiography

KW - Endosonography

KW - Female

KW - Fluoroscopy

KW - Humans

KW - Male

KW - Middle Aged

KW - Multimodal Imaging

KW - Radiation Dosage

U2 - 10.1371/journal.pone.0140386

DO - 10.1371/journal.pone.0140386

M3 - SCORING: Journal article

C2 - 26465747

VL - 10

SP - e0140386

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 10

ER -