Evidence map›Paper›PMID 32934609›Full record

ReviewJournal of interventional cardiology2020

Temporal Trends in X-Ray Exposure during Coronary Angiography and Percutaneous Coronary Intervention.

Cedric Davidsen, Kirsten Bolstad, Ellisif Nygaard, Kjell Vikenes, Svein Rotevatn, Vegard Tuseth

Abstract readReview
In one paragraph

Review in Journal of interventional cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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.

Cedric DavidsenDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0002-1396-6985
Kirsten BolstadDepartment of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway.
Ellisif NygaardDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Kjell VikenesDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Svein RotevatnDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.
Vegard TusethDepartment of Heart Disease, Haukeland University Hospital, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous coronary intervention exposes patient and staff to ionizing radiation. Although staff only receive a small fraction of patient dose through scatter radiation, there are concerns about the potential health effects of repeated exposure. Minimizing both patient and occupational exposure is needed.

objectiveThis article investigates patient and operator X-ray exposure over time in coronary intervention in relation to upgraded X-ray equipment, improved shielding, and enhanced operator awareness. MATERIALS AND

methodsData regarding irradiation time, patient dose, and patient characteristics were extracted from the Norwegian Registry for Invasive Cardiology (NORIC) for procedures performed from 2013 to mid-2019. Personal operator dosimetry records were provided by the Norwegian Radiation and Nuclear Safety Authority. Improved operator shielding and awareness measures were introduced in 2018.

resultsIn the period 2013 through June 2019, 21499 procedures were recorded in our institution. Mean dose area product (DAP) for coronary angiography decreased 37% from 2981

conclusionsThis study shows a temporal trend towards considerable reduction in X-ray doses received by the patient and operator during cardiac catheterization. Upgraded X-ray equipment, improved shielding, and enhanced operator awareness are likely contributors to this development.

Indexed as

Coronary AngiographyPercutaneous Coronary InterventionHumansOccupational ExposureRadiation ExposureRadiologic Health

Identifiers

PMID32934609
PMCPMC7481933

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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.