原创力文档Real-time measurement of radiation exposure to patients during diagnostic coronary angiography and percutaneous interventional procedures》.pdf
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Real-time measurement of radiation exposure to patients during diagnostic coronary angiography and percutaneous interventional procedures》.pdf
Journal of the American College of Cardiology Vol. 33, No. 2, 1999
© 1999 by the American College of Cardiology ISSN 0735-1097/99/$20.00
Published by Elsevier Science Inc. PII S0735-1097(98)00591-9
Real-time Measurement of Radiation Exposure
to Patients During Diagnostic Coronary
Angiography and Percutaneous Interventional Procedures
Jack T. Cusma, P HD, Malcolm R. Bell, MBBS, FRACP, FACC, Merrill A. Wondrow, Jerome P. Taubel,
David R. Holmes, JR., MD, FACC
Rochester, Minnesota
OBJECTIVES The aim of this study was to accurately assess the radiation exposure received by patients
during cardiac catheterization in a large sample representative of the current state of practice
in cardiac angiography.
BACKGROUND Radiation exposure to patients and laboratory staff has been recognized as a necessary hazard
in coronary angiography. The effects on x-ray exposure of the increased complexity of
coronary angiographic procedures and, in particular, the increasing use of coronary artery
stenting, have not been adequately addressed in previous studies.
METHODS X-ray exposure measurements were performed on a consecutive series of 972 patients
undergoing 992 diagnostic and interventional studies in the Mayo Clinic catheterization
laboratory within an eight week period in late 1997. Data were acquired from 706 diagnostic
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