Operator exposure to x-ray in left and right radial access during percutaneous coronary procedures: OPERA randomised study.
Identifieur interne : 000247 ( PubMed/Curation ); précédent : 000246; suivant : 000248Operator exposure to x-ray in left and right radial access during percutaneous coronary procedures: OPERA randomised study.
Auteurs : Marcello Dominici [Italie] ; Roberto Diletti ; Caterina Milici ; Carlo Bock ; Attilio Placanica ; Gianluigi D'Alessandro ; Alessio Arrivi ; Marco Italiani ; Eduardo Buono ; Enrico BoschettiSource :
- Heart (British Cardiac Society) ; 2013.
Descripteurs français
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Angina, Stable (radiography), Angina, Stable (therapy), Angina, Unstable (radiography), Angina, Unstable (therapy), Cardiac Catheterization (instrumentation), Cardiac Catheters, Chi-Square Distribution, Contrast Media, Coronary Angiography (instrumentation), Equipment Design, Female, Fluoroscopy, Hospitals, University, Humans, Italy, Male, Middle Aged, Myocardial Ischemia (radiography), Myocardial Ischemia (therapy), Occupational Exposure, Occupational Health, Percutaneous Coronary Intervention (instrumentation), Prospective Studies, Radial Artery (radiography), Radiation Dosage, Radiography, Interventional, Thermoluminescent Dosimetry.
- MESH :
- chemical : Contrast Media.
- geographic : Italy.
- instrumentation : Cardiac Catheterization, Coronary Angiography, Percutaneous Coronary Intervention.
- radiography : Angina, Stable, Angina, Unstable, Myocardial Ischemia, Radial Artery.
- therapy : Angina, Stable, Angina, Unstable, Myocardial Ischemia.
- Aged, Aged, 80 and over, Cardiac Catheters, Chi-Square Distribution, Equipment Design, Female, Fluoroscopy, Hospitals, University, Humans, Male, Middle Aged, Occupational Exposure, Occupational Health, Prospective Studies, Radiation Dosage, Radiography, Interventional, Thermoluminescent Dosimetry.
Abstract
Left radial access (LRA) and right radial access (RRA) have been shown to be safe and effective for coronary arteries catheterisation. However, the differences between the two approaches in terms of radiation exposure are still unclear. The aim of the present investigation is to evaluate in a randomised study, the dose of radiation absorbed by operators using either LRA or RRA.
DOI: 10.1136/heartjnl-2012-302895
PubMed: 23343690
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Milici</name></author><author><name sortKey="Bock, Carlo" sort="Bock, Carlo" uniqKey="Bock C" first="Carlo" last="Bock">Carlo Bock</name></author><author><name sortKey="Placanica, Attilio" sort="Placanica, Attilio" uniqKey="Placanica A" first="Attilio" last="Placanica">Attilio Placanica</name></author><author><name sortKey="D Alessandro, Gianluigi" sort="D Alessandro, Gianluigi" uniqKey="D Alessandro G" first="Gianluigi" last="D'Alessandro">Gianluigi D'Alessandro</name></author><author><name sortKey="Arrivi, Alessio" sort="Arrivi, Alessio" uniqKey="Arrivi A" first="Alessio" last="Arrivi">Alessio Arrivi</name></author><author><name sortKey="Italiani, Marco" sort="Italiani, Marco" uniqKey="Italiani M" first="Marco" last="Italiani">Marco Italiani</name></author><author><name sortKey="Buono, Eduardo" sort="Buono, Eduardo" uniqKey="Buono E" first="Eduardo" last="Buono">Eduardo Buono</name></author><author><name sortKey="Boschetti, Enrico" sort="Boschetti, Enrico" uniqKey="Boschetti E" 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Department of Interventional Cardiology, Santa Maria University Hospital, Terni</wicri:regionArea></affiliation></author><author><name sortKey="Diletti, Roberto" sort="Diletti, Roberto" uniqKey="Diletti R" first="Roberto" last="Diletti">Roberto Diletti</name></author><author><name sortKey="Milici, Caterina" sort="Milici, Caterina" uniqKey="Milici C" first="Caterina" last="Milici">Caterina Milici</name></author><author><name sortKey="Bock, Carlo" sort="Bock, Carlo" uniqKey="Bock C" first="Carlo" last="Bock">Carlo Bock</name></author><author><name sortKey="Placanica, Attilio" sort="Placanica, Attilio" uniqKey="Placanica A" first="Attilio" last="Placanica">Attilio Placanica</name></author><author><name sortKey="D Alessandro, Gianluigi" sort="D Alessandro, Gianluigi" uniqKey="D Alessandro G" first="Gianluigi" last="D'Alessandro">Gianluigi D'Alessandro</name></author><author><name sortKey="Arrivi, Alessio" sort="Arrivi, Alessio" uniqKey="Arrivi A" first="Alessio" last="Arrivi">Alessio Arrivi</name></author><author><name sortKey="Italiani, Marco" sort="Italiani, Marco" uniqKey="Italiani M" first="Marco" last="Italiani">Marco Italiani</name></author><author><name sortKey="Buono, Eduardo" sort="Buono, Eduardo" uniqKey="Buono E" first="Eduardo" last="Buono">Eduardo Buono</name></author><author><name sortKey="Boschetti, Enrico" sort="Boschetti, Enrico" uniqKey="Boschetti E" first="Enrico" last="Boschetti">Enrico Boschetti</name></author></analytic><series><title level="j">Heart (British Cardiac Society)</title><idno type="e-ISSN">1468-201X</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Angina, Stable (radiography)</term><term>Angina, Stable (therapy)</term><term>Angina, Unstable (radiography)</term><term>Angina, Unstable (therapy)</term><term>Cardiac Catheterization (instrumentation)</term><term>Cardiac Catheters</term><term>Chi-Square Distribution</term><term>Contrast Media</term><term>Coronary Angiography (instrumentation)</term><term>Equipment Design</term><term>Female</term><term>Fluoroscopy</term><term>Hospitals, University</term><term>Humans</term><term>Italy</term><term>Male</term><term>Middle Aged</term><term>Myocardial Ischemia (radiography)</term><term>Myocardial Ischemia (therapy)</term><term>Occupational Exposure</term><term>Occupational Health</term><term>Percutaneous Coronary Intervention (instrumentation)</term><term>Prospective Studies</term><term>Radial Artery (radiography)</term><term>Radiation Dosage</term><term>Radiography, Interventional</term><term>Thermoluminescent Dosimetry</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Contrast Media</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Cardiac Catheterization</term><term>Coronary Angiography</term><term>Percutaneous Coronary Intervention</term></keywords><keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Angina, Stable</term><term>Angina, Unstable</term><term>Myocardial Ischemia</term><term>Radial Artery</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Angina, Stable</term><term>Angina, Unstable</term><term>Myocardial Ischemia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cardiac Catheters</term><term>Chi-Square Distribution</term><term>Equipment Design</term><term>Female</term><term>Fluoroscopy</term><term>Hospitals, University</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Occupational Exposure</term><term>Occupational Health</term><term>Prospective Studies</term><term>Radiation Dosage</term><term>Radiography, Interventional</term><term>Thermoluminescent Dosimetry</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Italie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Left radial access (LRA) and right radial access (RRA) have been shown to be safe and effective for coronary arteries catheterisation. However, the differences between the two approaches in terms of radiation exposure are still unclear. The aim of the present investigation is to evaluate in a randomised study, the dose of radiation absorbed by operators using either LRA or RRA.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23343690</PMID><DateCreated><Year>2013</Year><Month>03</Month><Day>07</Day></DateCreated><DateCompleted><Year>2013</Year><Month>04</Month><Day>29</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-201X</ISSN><JournalIssue CitedMedium="Internet"><Volume>99</Volume><Issue>7</Issue><PubDate><Year>2013</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Heart (British Cardiac Society)</Title><ISOAbbreviation>Heart</ISOAbbreviation></Journal><ArticleTitle>Operator exposure to x-ray in left and right radial access during percutaneous coronary procedures: OPERA randomised study.</ArticleTitle><Pagination><MedlinePgn>480-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/heartjnl-2012-302895</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Left radial access (LRA) and right radial access (RRA) have been shown to be safe and effective for coronary arteries catheterisation. However, the differences between the two approaches in terms of radiation exposure are still unclear. The aim of the present investigation is to evaluate in a randomised study, the dose of radiation absorbed by operators using either LRA or RRA.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Randomised, prospective, double arm, single centre study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">University Hospital.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">Male or female subjects with stable, unstable angina and silent ischaemia.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">The present study is a comparison of LRA and RRA for coronary artery catheterisation in terms of operators' radiation exposure.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">The primary outcome measure was the radiation dose absorbed by operators; secondary outcome measures were fluoroscopy time, dose-area product and contrast delivered.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 413 patients were enrolled; 209 were randomly selected to undergo diagnostic procedures with RRA and 204 with LRA. The operator's radiation exposure was significantly lower in the left radial group (LRA 33±37 μSv vs RRA 44±32 μSv, p=0.04). No significant differences were observed in fluoroscopy time (LRA 349±231s vs RRA 370±246 s p=0.09) and dose-area product (LRA 7011.42±3617.30 μGym(2) vs RRA 7382.38±5226.61 μGym(2), p=0.80), even though in both there was a trend towards a lower level in the LRA. No differences were observed in contrast medium delivered (LRA 89.92±32.55 ml vs RRA 88.88±35.35 ml, p=0.45).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The LRA was associated in the present report with a lower radiation dose absorbed by the operator during coronary angiography.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dominici</LastName><ForeName>Marcello</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Cardiology, Department of Interventional Cardiology, Santa Maria University Hospital, Terni, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diletti</LastName><ForeName>Roberto</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Milici</LastName><ForeName>Caterina</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Bock</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Placanica</LastName><ForeName>Attilio</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>D'Alessandro</LastName><ForeName>Gianluigi</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Arrivi</LastName><ForeName>Alessio</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Italiani</LastName><ForeName>Marco</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Buono</LastName><ForeName>Eduardo</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Boschetti</LastName><ForeName>Enrico</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>01</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Heart</MedlineTA><NlmUniqueID>9602087</NlmUniqueID><ISSNLinking>1355-6037</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D003287">Contrast Media</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D060050">Angina, Stable</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000789">Angina, Unstable</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000530">radiography</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D006328">Cardiac Catheterization</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D062906">Cardiac Catheters</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016009">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003287">Contrast Media</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D017023">Coronary Angiography</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004867">Equipment Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005471">Fluoroscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006785">Hospitals, University</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017202">Myocardial Ischemia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000530">radiography</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D016273">Occupational Exposure</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016272">Occupational Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D062645">Percutaneous Coronary Intervention</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017534">Radial Artery</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000530">radiography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011829">Radiation Dosage</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D015641">Radiography, Interventional</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013819">Thermoluminescent Dosimetry</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2013</Year><Month>1</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>1</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">heartjnl-2012-302895</ArticleId><ArticleId IdType="doi">10.1136/heartjnl-2012-302895</ArticleId><ArticleId IdType="pubmed">23343690</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour 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