Comparison of fluoro and cine coronary angiography: Balancing acceptable outcomes with a reduction in radiation dose

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dc.authorid0000-0003-0525-6569
dc.authorid0000-0002-4607-5724
dc.authorid0000-0002-4281-0867
dc.authorid0000-0003-2995-8792
dc.authorid0000-0003-1919-3183
dc.contributor.authorOlcay, Ayhan
dc.contributor.authorGüler, Ekrem
dc.contributor.authorKaraca, İbrahim Oğuz
dc.contributor.authorOmaygenç, Mehmet Onur
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorOlgun, Erkam
dc.contributor.authorYenipınar, Esra
dc.contributor.authorÇakmak, Hüseyin Altu?
dc.contributor.authorDuman, Dursun
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:23Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:23Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.descriptionWOS: 000362273800008
dc.descriptionPubMed ID: 25840403
dc.description.abstractUse of last fluoro hold (LFH) mode in fluoroscopy, which enables the last live image to be saved and displayed, could reduce radiation during percutaneous coronary intervention when compared with cine mode. No previous study compared coronary angiography radiation doses and image quality between LFH and conventional cine mode techniques. Methods. We compared cumulative dose-area product (DAP), cumulative air kerma, fluoroscopy time, contrast use, interobserver variability of visual assessment between LFH angiography, and conventional cine angiography techniques. Forty-six patients were prospectively enrolled into the LFH group and 82 patients into the cine angiography group according to operator decision. Results. Mean cumulative DAP was higher in the cine group vs the LFH group (50058.98 +/- 53542.71 mGy.cm(2) vs 11349.2 +/- 8796.46 mGy.cm(2); P<.001). Mean fluoroscopy times were higher in the cine group vs the LFH group (3.87 +/- 5.08 minutes vs 1.66 +/- 1.51 minutes; P<.01). Mean contrast use was higher in the cine group vs the LFH group (112.07 +/- 43.79 cc vs 88.15 +/- 23.84 cc; P<.001). Mean value of Crombach's alpha was not statistically different between visual estimates of three operators between cine and LFH angiography groups (0.66680 +/- 0.19309 vs 0.54193 +/- 0.31046; P=.20). Conclusion. Radiation doses, contrast use, and fluoroscopy times are lower in fluoroscopic LFH angiography vs cine angiography. Interclass variability of visual stenosis estimation between three operators was not different between cine and LFH groups. Fluoroscopic LFH images conventionally have inferior diagnostic quality when compared with cine coronary angiography, but with new angiographic systems with improved LFH image quality, these images may be adequate for diagnostic coronary angiography.
dc.identifier.citationOlcay, A., Güler, E., Karaca, İ. O., Omaygenç, M. O., Kızılırmak, F., Olgun, E. ... Duman, D. (2015). Comparison of fluoro and cine coronary angiography: Balancing acceptable outcomes with a reduction in radiation dose. Journal of Invasive Cardiology, 27(4), 199-202.
dc.identifier.endpage203
dc.identifier.issn1042-3931
dc.identifier.issn1557-2501
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage200
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3158
dc.identifier.volume27
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHMP Communications
dc.relation.ispartofJournal of Invasive Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCoronary Angiography
dc.subjectFluoroscopy Time
dc.subjectRadiation Safety
dc.titleComparison of fluoro and cine coronary angiography: Balancing acceptable outcomes with a reduction in radiation dose
dc.typeArticle

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