[1]吴骁旻,叶 梓,王亚平,等.动态路图在冠状动脉低剂量模式中的应用[J].介入放射学杂志,2024,33(03):236-239.
 WU Xiaomin,YE Zi,WANG Yaping,et al.Application of dynamic coronary roadmap in coronary artery low-dose mode[J].journal interventional radiology,2024,33(03):236-239.
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动态路图在冠状动脉低剂量模式中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年03
页码:
236-239
栏目:
心脏介入
出版日期:
2024-03-27

文章信息/Info

Title:
Application of dynamic coronary roadmap in coronary artery low-dose mode
作者:
吴骁旻 叶 梓 王亚平 刘 洋 姚义安 陈 飞 王一平 汤 宇 来 晏
Author(s):
WU Xiaomin YE Zi WANG Yaping LIU Yang YAO Yi’an CHEN Fei WANG Yiping TANG Yu LAI Yan.
Department of Cardiovascular Medicine, Affiliated Tongji Hospital, Tongji University, Shanghai 200065, China
关键词:
【关键词】 动态冠脉路图 低剂量模式 经皮冠状动脉介入治疗
文献标志码:
A
摘要:
【摘要】 目的 评估联合应用动态冠状动脉路图(dynamic coronary roadmap,DCR)技术及低剂量冠脉模式是否可以进一步降低总放射剂量、透视时间和对比剂用量。方法 纳入2022年7月至2022年12月在上海市同济医院行冠脉造影患者94例,随机分为DCR组53例,对照组41例。DCR组应用冠状动脉动态路图指导行经皮冠状动脉介入(PCI)术,对照组采用低剂量冠脉造影模式进行手术。比较两组的总空气比释动能(air kerma,AK)、剂量面积乘积(DAP)、术中透视时间、对比剂用量。结果 与对照组相比,DCR组的AK明显减低,为(597.9±222.8) mGy比(717.0±326.8) mGy(P=0.039);DAP也显著减少,为(33.2±13.3) Gycm2/s 比(41.3±21.5) Gycm2/s(P=0.027);DCR组的透视时间少于对照组,为(9.8±3.3) min比(12.1±4.3) min(P<0.01);两组对比剂用量无明显差异,为(122.3±19.0) mL比(130.5±28.5) mL(P=0.116)。结论 在低剂量冠脉介入治疗中应用动态冠脉路图模式,进一步降低了放射线剂量、透视时间及对比剂用量。

参考文献/References:

[1] 孟昭阳,刘 鹏,尤寅初,等.浅谈低剂量数字减影血管造影(DSA)X射线成像系统的辐射安全检测方法[J]. 中国医疗器械信息, 2023, 29:28- 32.
[2] Dubeau J, Sun J, Leroux N, et al. A study on the use of modified extremity dosemeters for the measurement of Hp(3,α)[J]. Radiat Meas, 2021, 140: 106491.
[3] Navarese EP, Schulze V, Andreotti F, et al. Comprehensive meta- analysis of safety and efficacy of bivalirudin versus heparin with or without routine glycoprotein Ⅱb/Ⅲa inhibitors in patients with acute coronary syndrome[J]. JACC Cardiovasc Interv, 2015, 8: 201- 213.
[4] Meinertz T, Diegeler A, Stiller B, et al. German heart report 2013[J]. Clin Res Cardiol, 2015, 104: 112- 123.
[5] Hansen JW, Foy A, Schmidt T, et al. Fluoroscopy pulse rate reduction during diagnostic and therapeutic imaging in the cardiac catheterization laboratory: an evaluation of radiation dose, procedure complications and outcomes[J]. Catheter Cardiovasc Interv, 2017, 89: 665- 670.
[6] Piayda K, Kleinebrecht L, Afzal S, et al. Dynamic coronary roadmapping during percutaneous coronary intervention: a feasibility study[J]. Eur J Med Res, 2018, 23: 36.
[7] Stangenberg L, Shuja F, Carelsen B, et al. A novel tool for three- dimensional roadmapping reduces radiation exposure and contrast agent dose in complex endovascular interventions[J]. J Vasc Surg, 2015, 62: 448- 455.
[8] 刘伟宾,黄连军,郭久芳,等. 心血管疾病患者在介入诊疗过程中辐射剂量分析[J]. 介入放射学杂志, 2014, 23:941- 944.
[9] 谭泰康,陆超灵. 平板DSA低剂量模式应用于冠状动脉造影术中的临床研究[J]. 影像研究与医学应用, 2021, 5:100- 101.
[10] 谢小为,王庆华,吴清华. DSA低剂量技术在急性冠状动脉综合征中的应用及对患者X线辐射剂量的影响[J]. 介入放射学杂志, 2022, 31:991- 994.
[11] Sadamatsu K, Nakano Y. The effect of low frame rate fluoroscopy on the X- ray dose during coronary intervention[J]. Intern Med, 2016, 55: 1943- 1946.
[12] Ge L, Zhong X, Ma J, et al. Safety and feasibility of a low frame rate protocol for percutaneous coronary intervention to chronic total occlusions: preliminary experience[J]. EuroIntervention, 2018, 14: e538- e545.
[13] Shekhar S, Ajay A, Agrawal A, et al. Radiation reduction in a modern catheterization laboratory: a single- center experience[J]. Catheter Cardiovasc Interv, 2022, 100: 575- 584.
[14] 黄 永,王艳芹,杨 洁,等. 降低介入诊疗过程中患者接受辐射剂量的研究[J]. 介入放射学杂志, 2011, 20:563- 565.
[15] 王玉萍,沈世林,苏东君,等. 对比剂肾病研究进展[J]. 介入放射学杂志, 2017, 26:572- 575.
[16] 胡美娟,王 磊,宫剑滨,等. 冠心病介入治疗相关对比剂肾病防治的研究进展[J]. 分子影像学杂志, 2019, 42:465- 468.
[17] Neumann FJ, Sousa- Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization[J]. Eur Heart J, 2019, 40: 87- 165.
[18] 陈 飞,鲁静朝,杨秀春,等. CHA2DS2- VASc评分对冠心病患者择期经皮冠状动脉介入治疗术后对比剂肾病的预测价值[J]. 中国循环杂志, 2018, 33:1049- 1052.
[19] 周 兵,程永德. 介入诊疗中提倡使用等渗性对比剂[J]. 介入放射学杂志, 2012, 21:89- 91.

备注/Memo

备注/Memo:
(收稿日期:2023- 05- 04)
(本文编辑:新 宇)
更新日期/Last Update: 2024-03-27