Evolução da intervenção coronária percutânea entre 2004‐2013. Atividade em Portugal segundo o Registo Nacional de Cardiologia de Intervenção

Pereira, Hélder; Teles, Rui Campante; Costa, Marco; Silva, Pedro Canas da; Ferreira, Rui Cruz; Ribeiro, Vasco da Gama; Santos, Ricardo; Abreu, Pedro Farto e; Carvalho, Henrique; Marques, Jorge; Fernandes, Renato; Brandão, Vítor; Martins, Dinis; Drummond, António; Pipa, João; Seca, Luís; Calisto, João; Baptista, José; Matias, Fernando; Ramos, J. Sousa; Pereira-Machado, Francisco; Silva, João Carlos; Almeida, Manuel

doi:10.1016/j.repc.2015.06.005

Cited by 24 publications

(2 citation statements)

References 22 publications

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“…In Poland, 208842 coronary angiography (CA) and 113928 percutaneous coronary intervention (PCI) procedures were performed in 2012 [2]. An increase of 34 % from 2004 to 2013 (36810 procedures) in diagnostic catheterization procedures was recorded in Portugal, with a rate of 3529 CA per million population [3]. Gudnason et.al.…”

Section: Introduction mentioning

confidence: 99%

Occupational and Patient Doses in Interventional Cardiology in Indonesia: A Preliminary Result

Hiswara

Sofyan

et al. 2019

Atom Indo.

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Interventional cardiology is a branch of cardiology that manages the catheter based treatment of structural heart illnesses. These minimally invasive procedures involve inserting catheters and other devices through superficial arterial and venous access sites. Due to increased reliability and advancing technology, the number and complexity of interventional cardiology procedures haves increased in recent years. The increasing complexity of the procedures, however, require longer fluoroscopic duration, leading to increased exposure time to ionizing radiation for the patient and also for the medical staff since they need to remain close to the patient throughout the procedure. This study attempts to investigate the occupational and patient doses during the course of several interventional cardiology procedures in Indonesia, i.e. CA, PCI, cathscan, PA, PTCA, TACE, PAC and peripheral vascular. Occupational doses were measured by using individually packed three chips of TLD-100 placed in over-and under-thyroid shield used by medical staff, over-and under-apron in waist position, inside a special 'eye-D' holder, and inside a ring holder, while patient doses were estimated by using individually packed three TLD-100 chips attached in the x-ray tube. All TLDs were calibrated in the Secondary Standard Dosimetry Laboratory (SSDL) Jakarta. The study was performed in three big hospitals in the cities of Jakarta, Yogyakarta and Semarang. The results show that PCI procedure was the most performed one during the course of this study and gave the highest radiation doses to the staff for all type of doses calculated and measured. The maximum effective doses, eye lens doses, extremity doses, thyroid doses and gonad/ovary doses were 0.098 mSv, 0.1967 mSv, 0.7604 mSv, 0.1760 mSv and 0.0990 mSv, respectively. In the case of patient doses, the mean value of DAP for PTCA procedure of 776.76 Gy cm 2 was the highest compared with those for other procedures. The results of measurement for occupational doses were in general similar to those reported by other authors, but not for patient doses that was found to be 4-5 times higher. Due to the involving of various parameters during the course of interventional cardiology procedures, it was difficult to establish a correlation between the doses received by medical staff and by the patients.

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Section: Introduction mentioning

confidence: 99%

Occupational and Patient Doses in Interventional Cardiology in Indonesia: A Preliminary Result

Hiswara

Sofyan

et al. 2019

Atom Indo.

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“…1–5 The adoption rate for TRA in the United States (US) has been much slower, with only 28% of PCIs being performed transradially in recent reports from the NCDR ® –CathPCI ® registry. 6 This relatively slower rate of adoption occurs despite growing evidence demonstrating improved outcomes with TRA, particularly in patients presenting with an acute coronary syndrome.…”

Section: Introductionmentioning

confidence: 99%

Patient Versus Physician Variation in Use of Transradial Percutaneous Coronary Intervention

Shamim

Tang²,

Safley

et al. 2017

The American Journal of Cardiology

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The prevalence of radial access for transradial catheterization remains low in the US, occurring in only 28% of cases in the National Cardiovascular Data Registry (NCDR®) CathPCI®. It is unknown whether the low adoption rate has been influenced by patient characteristics, or is more operator dependent. In a 10-center study, we compared clinical and demographic characteristics among 323 radial and 1506 femoral access PCIs performed by 65 interventionists capable of radial percutaneous intervention (PCI). We created a hierarchical logistic regression model to identify operator and patient characteristics associated with radial PCI and the median rate ratio to quantify the variation across operators. A subset was interviewed to assess health literacy and preferences in shared medical decision-making. Radial access was used in 17.7% of patients. Patient factors associated with lower rate of radial PCI were prior PCI (33.4% vs 41.4% P=0.008), history of Coronary Artery Bypass Graft (8.4% vs 23.0% P <0.001) and Chronic Total Occlusion PCI (10.2% vs 17.9% P <0.001). Operator characteristics associated with lower rate of radial PCI are being older, being longer in practice, lower number of publications and Southern practice location. The range of radial use across operators was 1– 99% and the median rate ratio was 1.97. Patients with radial access had lower health literacy, as assessed by the REALM score (6.6±2.6 vs 7.1±2.0, p= 0.03) but did not differ in their preferences for shared decision-making. In conclusion our study demonstrates a high degree of variability of radial access for PCI among different operators, with few differences in patient characteristics, suggesting that improvement efforts should focus on operators.

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Characteristics of music intervention to reduce anxiety in patients undergoing cardiac catheterization: scoping review

Batista

Melo

Cruz

et al. 2022

Heliyon

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Evolução da intervenção coronária percutânea entre 2004‐2013. Atividade em Portugal segundo o Registo Nacional de Cardiologia de Intervenção

Cited by 24 publications

References 22 publications

Occupational and Patient Doses in Interventional Cardiology in Indonesia: A Preliminary Result

Occupational and Patient Doses in Interventional Cardiology in Indonesia: A Preliminary Result

Patient Versus Physician Variation in Use of Transradial Percutaneous Coronary Intervention

Characteristics of music intervention to reduce anxiety in patients undergoing cardiac catheterization: scoping review

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