Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair

Fiona Rohlffs; Konstantinos Spanos; Eike S Debus; Franziska Heidemann; Nikolaos Tsilimparis; Tilo Kölbel

doi:10.1016/j.ejvs.2019.07.044

Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair

Standard

Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair. / Rohlffs, Fiona; Spanos, Konstantinos; Debus, Eike S; Heidemann, Franziska; Tsilimparis, Nikolaos; Kölbel, Tilo.

In: EUR J VASC ENDOVASC, Vol. 59, No. 2, 02.2020, p. 295-300.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Rohlffs, F, Spanos, K, Debus, ES, Heidemann, F, Tsilimparis, N & Kölbel, T 2020, 'Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair', EUR J VASC ENDOVASC, vol. 59, no. 2, pp. 295-300. https://doi.org/10.1016/j.ejvs.2019.07.044

APA

Rohlffs, F., Spanos, K., Debus, E. S., Heidemann, F., Tsilimparis, N., & Kölbel, T. (2020). Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair. EUR J VASC ENDOVASC, 59(2), 295-300. https://doi.org/10.1016/j.ejvs.2019.07.044

Vancouver

Rohlffs F, Spanos K, Debus ES, Heidemann F, Tsilimparis N, Kölbel T. Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair. EUR J VASC ENDOVASC. 2020 Feb;59(2):295-300. https://doi.org/10.1016/j.ejvs.2019.07.044

Bibtex

@article{eed14487c91948d6bc437ca638260e87,

title = "Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair",

abstract = "OBJECTIVE: Radiation damage during complex endovascular aortic repair (EVAR) is of major concern to patients and medical staff. This study investigates primarily the influence of different acquisition systems (Allura ClarityIQ vs. Allura Xper, Philips Healthcare, Best, the Netherlands) on radiation dose. Secondly, radiation exposure was analysed for operator positions as well as for procedure and patient specific parameters.METHODS: This was a retrospective study of prospectively collected data. The study prospectively included 62 consecutive patients (mean age 71.2 ± 8.4 years; 63% males) who underwent complex EVAR including fenestrated or branched EVAR of the thoraco-abdominal or the aortic arch from 30 June 2015 to 20 May 2016. In half the patients an advanced dose and real time image noise reduction technology (Allura ClarityIQ) was used, and in the other half the reference acquisition system (Allura Xper) was used. Patient demographics included age, gender, and body mass index.RESULTS: Sixty-two patients with mean age of 71.2 ± 8.4 years (63% males; 39/62) were treated using either Allura ClarityIQ or Allura Xper. Patients treated using Allura ClarityIQ had lower cumulative dose area product (18,948.3 ± 14,648.5 cGy cm2vs. 38,512.4 ± 24,105.4 cGy cm2, p < 0.001) and air kerma (2237.9 ± 1808 mGy vs. 4031 ± 3260.2 mGy, p = .010) in comparison with patients treated using Allura Xper.CONCLUSION: Advanced dose and real time image noise reduction technology, such as Allura ClarityIQ, is a useful tool to lower the amount of radiation for patient and staff during complex endovascular aortic procedures.",

keywords = "Aged, Aged, 80 and over, Aorta, Abdominal/diagnostic imaging, Aorta, Thoracic/diagnostic imaging, Aortic Aneurysm, Abdominal/surgery, Aortic Aneurysm, Thoracic/surgery, Aortography/adverse effects, Endovascular Procedures/adverse effects, Feasibility Studies, Female, Humans, Male, Middle Aged, Prospective Studies, Radiation Dosage, Radiation Exposure/prevention & control, Radiographic Image Enhancement/instrumentation, Retrospective Studies",

author = "Fiona Rohlffs and Konstantinos Spanos and Debus, {Eike S} and Franziska Heidemann and Nikolaos Tsilimparis and Tilo K{\"o}lbel",

year = "2020",

month = feb,

doi = "10.1016/j.ejvs.2019.07.044",

language = "English",

volume = "59",

pages = "295--300",

journal = "EUR J VASC ENDOVASC",

issn = "1078-5884",

publisher = "W.B. Saunders Ltd",

number = "2",

}

RIS

TY - JOUR

T1 - Modern Image Acquisition System Reduces Radiation Exposure to Patients and Staff During Complex Endovascular Aortic Repair

AU - Rohlffs, Fiona

AU - Spanos, Konstantinos

AU - Debus, Eike S

AU - Heidemann, Franziska

AU - Tsilimparis, Nikolaos

AU - Kölbel, Tilo

PY - 2020/2

Y1 - 2020/2

N2 - OBJECTIVE: Radiation damage during complex endovascular aortic repair (EVAR) is of major concern to patients and medical staff. This study investigates primarily the influence of different acquisition systems (Allura ClarityIQ vs. Allura Xper, Philips Healthcare, Best, the Netherlands) on radiation dose. Secondly, radiation exposure was analysed for operator positions as well as for procedure and patient specific parameters.METHODS: This was a retrospective study of prospectively collected data. The study prospectively included 62 consecutive patients (mean age 71.2 ± 8.4 years; 63% males) who underwent complex EVAR including fenestrated or branched EVAR of the thoraco-abdominal or the aortic arch from 30 June 2015 to 20 May 2016. In half the patients an advanced dose and real time image noise reduction technology (Allura ClarityIQ) was used, and in the other half the reference acquisition system (Allura Xper) was used. Patient demographics included age, gender, and body mass index.RESULTS: Sixty-two patients with mean age of 71.2 ± 8.4 years (63% males; 39/62) were treated using either Allura ClarityIQ or Allura Xper. Patients treated using Allura ClarityIQ had lower cumulative dose area product (18,948.3 ± 14,648.5 cGy cm2vs. 38,512.4 ± 24,105.4 cGy cm2, p < 0.001) and air kerma (2237.9 ± 1808 mGy vs. 4031 ± 3260.2 mGy, p = .010) in comparison with patients treated using Allura Xper.CONCLUSION: Advanced dose and real time image noise reduction technology, such as Allura ClarityIQ, is a useful tool to lower the amount of radiation for patient and staff during complex endovascular aortic procedures.

AB - OBJECTIVE: Radiation damage during complex endovascular aortic repair (EVAR) is of major concern to patients and medical staff. This study investigates primarily the influence of different acquisition systems (Allura ClarityIQ vs. Allura Xper, Philips Healthcare, Best, the Netherlands) on radiation dose. Secondly, radiation exposure was analysed for operator positions as well as for procedure and patient specific parameters.METHODS: This was a retrospective study of prospectively collected data. The study prospectively included 62 consecutive patients (mean age 71.2 ± 8.4 years; 63% males) who underwent complex EVAR including fenestrated or branched EVAR of the thoraco-abdominal or the aortic arch from 30 June 2015 to 20 May 2016. In half the patients an advanced dose and real time image noise reduction technology (Allura ClarityIQ) was used, and in the other half the reference acquisition system (Allura Xper) was used. Patient demographics included age, gender, and body mass index.RESULTS: Sixty-two patients with mean age of 71.2 ± 8.4 years (63% males; 39/62) were treated using either Allura ClarityIQ or Allura Xper. Patients treated using Allura ClarityIQ had lower cumulative dose area product (18,948.3 ± 14,648.5 cGy cm2vs. 38,512.4 ± 24,105.4 cGy cm2, p < 0.001) and air kerma (2237.9 ± 1808 mGy vs. 4031 ± 3260.2 mGy, p = .010) in comparison with patients treated using Allura Xper.CONCLUSION: Advanced dose and real time image noise reduction technology, such as Allura ClarityIQ, is a useful tool to lower the amount of radiation for patient and staff during complex endovascular aortic procedures.

KW - Aged

KW - Aged, 80 and over

KW - Aorta, Abdominal/diagnostic imaging

KW - Aorta, Thoracic/diagnostic imaging

KW - Aortic Aneurysm, Abdominal/surgery

KW - Aortic Aneurysm, Thoracic/surgery

KW - Aortography/adverse effects

KW - Endovascular Procedures/adverse effects

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Prospective Studies

KW - Radiation Dosage

KW - Radiation Exposure/prevention & control

KW - Radiographic Image Enhancement/instrumentation

KW - Retrospective Studies

U2 - 10.1016/j.ejvs.2019.07.044

DO - 10.1016/j.ejvs.2019.07.044

M3 - SCORING: Journal article

C2 - 31870690

VL - 59

SP - 295

EP - 300

JO - EUR J VASC ENDOVASC

JF - EUR J VASC ENDOVASC

SN - 1078-5884

IS - 2

ER -