A Randomized Trial Comparing Dual Axis Rotational Versus Conventional Coronary Angiography in a Population With High Prevalence of Coronary Artery Disease

Giuberti, Rafael; Caixeta, Adriano; Carvalho, Antônio Carlos; M.D., Milton M. Soares; Silva, Erlon Oliveira de Abreu; Pestana, José Osmar Medina; Ribeiro, Artur Beltrame; Silva, Helio Tedesco; Vaz, Maria Luz; Fernandes, Rósley

doi:10.1016/s0735-1097(14)61848-9

Cited by 2 publications

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“…Actually, in the present study, 73% of the patients in DARCA group underwent DARCA combined with CCA. In addition, it is controversial whether DARCA may lead to a shorten or delay in PCI procedure [8,10,[22][23][24][25][26], our study found that there was no difference not only in the door to device time, but also in the CAG to device time, reflecting the procedure time, between the two groups of DARCA and CCA.…”

Section: Discussionmentioning

confidence: 55%

Usefulness of dual-axis rotational coronary angiography in primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction

et al. 2020

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Several studies have shown that dual-axis rotational coronary angiography (DARCA) reduces contrast medium volume and radiation exposure compared to conventional coronary angiography (CCA). However, there are no studies comparing the safety and usefulness of DARCA in primary percutaneous coronary intervention (PCI) for patients with ST-elevation myocardial infarction (STEMI). The aim of this study was to investigate the effects of DARCA on contrast medium volume, radiation exposure, time course of treatment, and adverse events in primary PCI for patients with STEMI. A total of 82 patients undergoing primary PCI were included in this study. Subjects were propensity matched to 41 patients in the CCA group and 41 in the DARCA group. Data were retrospectively collected from in-patient medical records and the contrast medium volume and radiation exposure (dose-area product, DAP) during the PCI procedure was compared between the two groups. Contrast medium volume [100.0 (82.5–115.0) vs 110 (102.5–127.5) ml, p = 0.018, r = 0.26] and DAP [113.4 (74.3–141.1) vs 138.1 (100.5–194.7) Gy cm2, p = 0.014, r = 0.27] were significantly lower in the DARCA group, compared with the CCA group. Door to device time (68.7 ± 26.1 vs 76.5 ± 44.2 min, p = 0.33) were comparable between the two groups. There were no adverse events requiring treatment reported in either groups. DARCA may reduce contrast medium volume and radiation exposure in primary PCI for patients with STEMI, and can be used safely, without delaying reperfusion of the infarct-related coronary artery.

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Section: Discussionmentioning

confidence: 55%

Usefulness of dual-axis rotational coronary angiography in primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction

et al. 2020

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“…En el análisis relativo a la radiación evaluado mediante Kerma-aire se agruparon 6 estudios 13,15,19,22,24,26 , suponiendo una población de 340 pacientes en el grupo de ACR y 343 pacientes en el grupo de ACC. Se detectó una diferencia estadísticamente significativa favorable a la ACR (diferencia estándar de medias [IC 95%] −0.842 [−1.104 a −0.581]; p < 0.001).…”

Section: Resultsunclassified

Impacto de la angiografía coronaria rotacional en la cantidad total de contraste administrado y la exposición a las radiaciones ionizantes en pacientes en los que se realizan procedimientos coronarios invasivos: revisión sistemática y metaanálisis

Fernández-Rodríguez

Shihadeh

Martos-Maine

et al. 2018

Archivos de Cardiología de México

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A Randomized Trial Comparing Dual Axis Rotational Versus Conventional Coronary Angiography in a Population With High Prevalence of Coronary Artery Disease

Cited by 2 publications

References 0 publications

Usefulness of dual-axis rotational coronary angiography in primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction

Usefulness of dual-axis rotational coronary angiography in primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction

Impacto de la angiografía coronaria rotacional en la cantidad total de contraste administrado y la exposición a las radiaciones ionizantes en pacientes en los que se realizan procedimientos coronarios invasivos: revisión sistemática y metaanálisis

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