Abstract No. 573 Radial versus femoral access: is there a preference among nursing care providers?

Abstract

data from 1086 procedure reports from the six months prior to implementation and 1270 procedure reports from the six months after implementation were reviewed to assess changes in code usage. Results: Structured reporting increased the number of CPT codes per procedure (2.93 vs 3.90, p<0.01). Structured reporting increased the use of codes for fluoroscopic guidance for central venous catheter placement, ultrasound guidance for vascular access, time-based moderate sedation, and 3D rendering with interpretation (165 vs 343, 442 vs 1326, 273 vs 460, and 0 vs 10; p<0.01). Structured reporting had no significant impact on the usage of other codes like selective catheterization (120 vs 128). Conclusions: Implementation of mandatory structured reports for interventional radiology procedures increases the number of codes per report and increases usage of codes requiring documentation of specific criteria. Abstract No. 571Effective dose comparison between computed tomography-versus fluoroscopy-guided bone marrow biopsies Purpose: Bone marrow biopsies are an established diagnostic tool, with the first diagnostic biopsy in 1903. While bone marrow biopsy can be done at the bed side, image guidance with computedtomography-guided biopsies (CTB) and fluoroscopic-guided biopsies (FB) have been used with increasing frequency. CTB and FB have increased the accuracy of biopsies and decreased complications. This study delineates the effective dose (ED) difference between the two techniques. Materials: This retrospective study utilizes the medical record of patients who have had CTB or FB of the iliac crest. Data was gathered at three clinical sites. A total of 44 patients were selected randomly and split between CTB and FB. CTG had 9 female and 13 male patients, 22-86 years of age. FB had 17 female and 6 male patients, 25-77 years of age. Dose area product (DAP) for FB or dose length product (DLP) for CTB were obtained from the source images. DLP for CTB was estimated from the appropriate (16 or 32 cm) imaging phantom and converted to ED using the pelvis K-value 0.015 mSv/gycm. For FB, the kyphoplasty of the lumbar spine K-value 0.2 mSv/gycm 2 was used. ED was compared between CTB and FB using the Mann-Whitney test. Results: ED was significantly smaller for FB compared to CTB (p<0.0001). The mean ED value for CTB was 5.4 mSv (range of 0.46 to 15.9 mSv, n¼22, SD of 3.5). The mean ED value for FB was 0.28 mSv (range of 0.007 to 2.05 mSv, n¼22, SD of 0.47). Conclusions: The findings show that there is significantly less ED in FB compared to CTB. This information may be useful in reducing radiation exposure to patients undergoing image-guided bone marrow biopsies. Abstract No. 572Improving the interventional radiology lab ergonomics using a novel imaging system geometry for image-guided procedures

Patient Comfort in Transradial and Transfemoral Percutaneous Coronary Interventiıon

“…15 It has been demonstrated that the cost of procedures and the complication rate are higher, and the length of hospital stay is longer in patients treated with transfemoral vascular access. 7,11,12,16 After angiography and interventional coronary applications, there are studies involving pain assessment for nursing care. Although it has been reported in the studies that interventions with radial access increase patient comfort, there is a very limited number of studies in which comfort level is evaluated using a comfort scale.…”

Patient comfort in percutaneous coronary interventions

“…15 Furthermore, treatment with transfemoral vascular access reported to bring higher cost of procedures, higher complication rates and longer time spent at hospital. 7,11,12,16 There are studies involving pain assessment after coronary interventions for nursing care. Although some studies have reported that interventions with radial access increase patient comfort, there are very few studies in which comfort level is evaluated using a comfort scale.…”