Radiation Exposure During Cardiac Catheterisation is Similar for Both Femoral and Radial Approaches》.pdf

ORIGINAL ARTICLE Heart, Lung and Circulation (2015) 24, 264–269 1443-9506/04/$36.00 /10.1016/j.hlc.2014.09.022 Radiation Exposure During Cardiac Catheterisation is Similar for Both Femoral and Radial Approaches Belinda Gray, FRACP a,b,d, Harry Klimis, MBBS a,b, Shafqat Inam, MBBS a, Nilshan Ariyathna, MBBS a, Shweta Kumar, MBBS a, Brian Bailey, FRACP a, Sanjay Patel, FRACP PhD a,b,c* aDepartment of Cardiology, Royal Prince Alfred Hospital, NSW bSydney Medical School, University of Sydney, NSW cThe Heart Research Institute, Sydney, NSW dAgnes Ginges Centre for Molecular Cardiology, Centenary Institute, NSW Received 11 August 2014; received in revised form 22 September 2014; accepted 22 September 2014; online published-ahead-of-print 22 October 2014 Objectives Radial approach invasive coronary angiography has been shown to be superior to the femoral approach in terms of reducing vascular access complications and improving patient comfort. However, one major limitation has been the perception of higher patient radiation exposure, with guidelines recommending 7mSv as an appropriate average effective dose (E) for routine coronary angiography. Therefore, we sought here to assess differences in radiation exposure between the femoral and radial access routes in patients undergoing diagnostic coronary angiography with or without angioplasty (CA +/- PCI), as performed by two operators, experienced in both techniques. Methods Consecutive patients (n = 870) from July 2011-December 2012, undergoing routine CA +/- PCI at Royal Prince Alfred Hospital, Sydney by two experienced interventional cardiologists were identified. Radiation doses were automatically recorded as dose area products (DAPs) at procedure tim