Evidence map›Paper›PMID 31144236›Full record

ArticleEuropean radiology experimental2019

Reduction of operator radiation exposure using a passive robotic device during fluoroscopy-guided arterial puncture: an experimental study in a swine model.

Muhammad Umair Ahmad Khan, Chang-Hwan Yoon, Byung-Ju Yi

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Article in European radiology experimental, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Muhammad Umair Ahmad KhanDepartment of Mechatronics Engineering, Hanyang University, 55 Hanyangdeahak-ro, Sangnok-gu, Ansan, 15588, Gyeonggi-do, South Korea.
Chang-Hwan YoonDepartment of Internal Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam, 13620, Gyeonggi-do, South Korea.
Byung-Ju YiDepartment of Electronic Systems Engineering, Hanyang University, 55 Hanyangdeahak-ro, Sangnok-gu, Ansan, 15588, Gyeonggi-do, South Korea. bj@hanyang.ac.kr.ORCID 0000-0002-0855-2569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular interventions imply radiation exposure to the operating physician (OP). To reduce radiation exposure, we propose a novel passive robotic device for fluoroscopy-guided arterial puncturing.

methodsX-ray dose rates were measured for a total of 30 fluoroscopy-guided puncture femoral arteries in 15 pigs. Fifteen punctures were performed with the device while the other 15 were performed without the device by an interventional cardiologist with 10 years of experience. Parametric t test was used.

resultsThe success rate with the device was 100%. Overall, the OP received more radiation (0.41 mSv/h) as compared to the assistant (0.06 mSv/h) (p <  0.001) and, amongst OP's body parts, hands received more radiation than other body parts (p <  0.001). The radiation dose rate to the OP's hands during arterial puncturing performed manually without the device was 0.95 ± 0.25 mSv/h whereas it was 0.14 ± 0.006 mSv/h using the device, resulting in an 85% reduction (p <  0.001). For the head, the dose was reduced from 0.16 mSv/h to 0.08 mSv/h (50% reduction, p <  0.001), and for the dominant arm, from 0.12 mSv/h to 0.07 mSv/h (42% reduction, p <  0.001). The fluoroscopy time was reduced from 4.5 ± 0.15 min to 4.3 ± 0.11 min device (p = 0.002).

conclusionsIn a swine model, fluoroscopy time and radiation exposure for the OP puncturing femoral artery were significantly reduced by using the passive robotic device.

Indexed as

FluoroscopyAnimalsArteriesMaleModels, AnimalOccupational ExposurePuncturesRadiation ExposureRoboticsSurgery, Computer-AssistedSwineFluoroscopyOccupational exposureRadiation exposureRadiation protectionRadiology (interventional)

Identifiers

PMID31144236
PMCPMC6541679

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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.