Optimization of percutaneous coronary intervention through lower frame rates angiogram
Aibibula·maimaiti
Kuerbannisha·maimaiti
Zulimire·abulizi
Nuregu·abudukade
Burebiyan·tailaiti
Abu-laiti·abudureheman
Mulati·abilailieti
Kuerbanjiang·nuer
Kutibiding·nuer
The First People's Hospital of Kashgar,Kashgar 844000,Xinjiang,China
摘要：Background Coronary artery disease(CAD)is a leading cause of mortality worldwide.Percutaneous coronary intervention(PCI)is a standard treatment for CAD,yet the radiation exposure associated with this procedure can pose significant risks to both patients and healthcare professionals.With the aim to optimize this procedure,we stud-ied the effects of different exposure rates on radiation dose,fluoroscopy time,and procedural complications.Meth-ods A total of 441 consecutive patients who underwent coronary angiography and subsequent PCI treatment from January 2020 to December 2021 were included in this study.Baseon the fluoroscopy frame rates used during the procedure,patients were divided into two groups,which included a standard dose protocol(SDP)group that used 15 frames per second(FPS)and a low dose protocol(LDP)group that used 7.5 FPS.Then the impact of different fluoroscopy frame rates on total air kerma(AK),procedure time,fluoroscopy times(FT),and procedural complica-tions in patients undergoing PCI were evaluated.Results Our data indicated that LDP group had a significantly lower AK,indicative of a reduced radiation dose,in comparison to SDP group.Although the procedure time and FT were slightly longer in the LDP group,this increase was not statistically significant.Moreover,the rate of intraoper-ative complications in the LDP group was not higher than that in the SDP group.In a subgroup of patients who un-derwent intravascular ultrasound(IVUS)within the LDP group,we observed further reductions in radiation expo-sure and FT.Conclusions The use of reduced fluoroscopy frame rates and adjunctive IVUS during PCI proce-dures can be a viable approach to minimizing radiation exposure without compromising procedure success or pa-tient safety.[S Chin J Cardiol 2023;24(2):74-78]
机标关键词：optimizationpercutaneousthroughframeangiogramcoronaryinterventionlower
论文发表日期：2023-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 74-78 )
英文信息