Skin Injuries from Fluoroscopically Guided Procedures

Koenig, Titus R.; Wolff, Detlev; Mettler, Fred A.; Wagner, Louis K.

doi:10.2214/ajr.177.1.1770003

Cited by 430 publications

(233 citation statements)

References 34 publications

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“…It is therefore necessary to assess regularly patient doses, to identify patients at risk and to have proper protocols to minimise local skin doses and skin erythema as a result of these sometimes, lengthy procedures. Operators of interventional radiology should, however, be aware of the potential risk of skin injury following such procedures, particularly for patients with collagen vascular disease, diabetes or previous skin exposure [3]. If proper quality assurance programs including patient dose monitoring, periodic equipment testing, procedure evaluation and training of staff, are established, the risk of skin injuries in interventional cardiology is very low [4].…”

Section: Introductionmentioning

confidence: 99%

Local skin and eye lens equivalent doses in interventional neuroradiology

2009

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Abstract:The aim of this work was to assess patient skin and eye lens doses in interventional neuroradiology and to assess both stochastic and deterministic radiation risks. Kerma-area product, P KA was recorded and skin doses measured using thermoluminescence dosimeters. Estimated dose at interventional reference point, IRP, was compared with measured absorbed doses. The average and maximum fluoroscopy times were 32 and 189 min for coiling and 40 and 144min for embolisation. The average and maximum P KA for coiling were 121 and 436 Gycm 2 respectively and 189 and 677 Gycm 2 for embolisation. The average and maximum values of the measured maximum absorbed skin doses were 0.72 and 3.0Sv respectively for coiling and 0.79 and 2.1Sv for embolisation. Two out of the 52 patients received skin doses in excess of 2Sv. The average and maximum doses to the eye lens (left eye) were 51 and 51mSv (coiling) and 71 and 289mSv (embolisation). The ratio between the measured dose and the dose at the IRP was 0.44±0.18mSv/mGy indicating that the dose displayed by the x-ray unit overestimates the maximum skin dose but is still a valuable indication of the dose. The risk in our hospital skin erythema and lens cataract is therefore small.

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Section: Introductionmentioning

confidence: 99%

Local skin and eye lens equivalent doses in interventional neuroradiology

2009

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“…TIPS is one of the most complex interventional radiology procedures with prolonged fluoroscopy times and numerous cases of radiation-induced skin injury (18)(19)(20). Studies have also demonstrated high operator doses (21).…”

mentioning

confidence: 99%

Use of transabdominal ultrasound-guided transjugular portal vein puncture on radiation dose in transjugular intrahepatic portosystemic shunt formation

Tavare

Wigham²,

Hadjivassilou³

et al. 2017

Diagn Interv Radiol

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“…Koenig [6] has published the details of 13 cases of radiation injury incurred during cardiac angiography and coronary intervention procedures. The report includes detailed descriptions of patient demographics and of the examinations, locations of skin injuries and associated clinical findings [9].…”

Section: Medical Radiation Injurymentioning

confidence: 99%

Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

Kim

Seo²,

Choi³

et al. 2015

J Digit Imaging

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Digital cardiovascular angiography accounts for a major portion of the radiation dose among the examinations performed at cardiovascular centres. However, dose-related information is neither monitored nor recorded systemically. This report concerns the construction of a radiation dose monitoring system based on digital imaging and communications in medicine (DICOM) data and its use at the cardiovascular centre of the University Hospitals in Korea. The dose information was analysed according to DICOM standards for a series of procedures, and the formulation of diagnostic reference levels (DRLs) at our cardiovascular centre represents the first of its kind in Korea. We determined a dose area product J Digit Imaging (2015) 28:684-694 DOI 10.1007 (DAP) DRL for coronary angiography of 75.6 Gy cm 2 and a fluoroscopic time DRL of 318.0 s. The DAP DRL for percutaneous transluminal coronary intervention was 213.3 Gy cm 2 , and the DRL for fluoroscopic time was 1207.5 s.

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Skin Injuries from Fluoroscopically Guided Procedures

Cited by 430 publications

References 34 publications

Local skin and eye lens equivalent doses in interventional neuroradiology

Local skin and eye lens equivalent doses in interventional neuroradiology

Use of transabdominal ultrasound-guided transjugular portal vein puncture on radiation dose in transjugular intrahepatic portosystemic shunt formation

Development of Diagnostic Reference Levels Using a Real-Time Radiation Dose Monitoring System at a Cardiovascular Center in Korea

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