Evidence map›Paper›PMID 30014587›Full record

ArticleJournal of medical radiation sciences2018

Feasibility of using ultra-low pulse rate fluoroscopy during routine diagnostic coronary angiography.

Mohamed Khaldoun Badawy, Matthew Scott, Omar Farouque, Mark Horrigan, David J Clark, Robert K Chan

Open access · goldAbstract read
In one paragraph

Article in Journal of medical radiation sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Toward quantitative X-ray elastography of coronary arteries using flexural pulse waves.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  8. Reduction of radiation exposure using low pulse rate fluoroscopy during neuroendovascular surgery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Mohamed Khaldoun BadawyMonash Imaging, Monash Health, Clayton, Victoria, Australia.ORCID http://orcid.org/0000-0001-8029-9951
Matthew ScottCardiovascular Procedure Centre, Warringal Private Hospital, Ramsay Healthcare, Heidelberg, Victoria, Australia.ORCID http://orcid.org/0000-0001-9482-3072
Omar FarouqueDepartment of Cardiology, Austin Health, Heidelberg, Victoria, Australia.
Mark HorriganDepartment of Cardiology, Austin Health, Heidelberg, Victoria, Australia.
David J ClarkDepartment of Cardiology, Austin Health, Heidelberg, Victoria, Australia.
Robert K ChanDepartment of Cardiology, Austin Health, Heidelberg, Victoria, Australia.
Austin Health · AUThe University of Melbourne · AUMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronary angiogram, while a powerful diagnostic tool in coronary artery disease, is not without an associated risk from ionising radiation. There are a number of factors that influence the amount of radiation the patient receives during the procedure, some of which are under the control of the operator. One of these is an adjustment of the fluoroscopic pulse rate. This study aims to assess the feasibility of using ultra-low pulse rate (3 pulses per second(pps)) fluoroscopy during routine diagnostic coronary angiogram procedures and the effect it has on fluoroscopy time, diagnostic clarity and radiation dose.

methodsA retrospective study of three operators each undertaking 50 coronary angiogram procedures was performed. One of the operators used a pulse rate of 3 pps and 6 pps for fluoroscopic screening while the control groups used the standard 10 pps mode utilised at this centre.

resultsResults demonstrated no reduction of diagnostic clarity, up to a 58% reduction in Dose Area Product and no increase in fluoroscopy time with the 3 pps setting.

conclusionsFindings from this pilot study suggest that utilisation of ultra-low pulse rate fluoroscopy in routine transfemoral diagnostic coronary angiography in the catheterisation laboratory is feasible.

Indexed as

AgedCoronary AngiographyFeasibility StudiesFemaleFluoroscopyHumansMaleFluoroscopyinterventional cardiologyradiation dose optimisationradiation protection

Identifiers

PMID30014587
PMCPMC6275254
OpenAlexW2884673216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.