Fluoroscopically Guided Implantation of Modern Cardiac Resynchronization Devices

Perisinakis, Kostas; Theocharopoulos, Nicholas; Damilakis, John; Manios, Emmanuel G.; Vardas, P.; Gourtsoyiannis, Nicholas

doi:10.1016/j.jacc.2005.01.070

Cited by 50 publications

(28 citation statements)

References 16 publications

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“…[22][23][24][25][26][27] To our knowledge, none of these studies directly linked cumulative exposure and cancer risk. We examined a cohort of patients who had acute myocardial infarction and measured the association between low-dose ionizing radiation from cardiac imaging and therapeutic procedures and the risk of cancer.…”

Section: Resultsmentioning

confidence: 99%

Cancer risk related to low-dose ionizing radiation from cardiac imaging in patients after acute myocardial infarction

Eisenberg¹,

Afilalo²,

Lawler³

et al. 2011

Canadian Medical Association Journal

159

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Section: Resultsmentioning

confidence: 99%

Cancer risk related to low-dose ionizing radiation from cardiac imaging in patients after acute myocardial infarction

Eisenberg¹,

Afilalo²,

Lawler³

et al. 2011

Canadian Medical Association Journal

159

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“…. They also have shown that this exceed threshold dose for the induction of skin effects [10]. An other study addressing the operator's side of the problem demonstrated that the radiation exposure of the hands is approximately 9.2 mSv, and the other part of the body as 1.2 mSv [11].…”

Section: Discussionmentioning

confidence: 98%

Surgical Results of Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy

Gür¹,

Gürkan²,

Gür³

et al. 2013

WJCS

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Objectives: Cardiac resynchronisation therapy (CRT) has proven its effectiveness in patients with symptomatic heart failure [1,2]. Although rewarding, the procedure of biventricular pacemaker implantation is challenging and subsequently fails in 8% -11% of patients. In patients whose left ventricular (LV) electrode cannot be placed transvenously, surgical implantation of an epicardial electrode can be achieved. Methods: Seventeen patients (14 male, 3 female), among whom LV electrode was failed to be placed transvenously, were included into our study. The epicardial LV electrodes were implanted through anterior mini thoracotomy. The patients were followed up for approximate six months and complications, ejection fraction (EF), New York Heart Association (NYHA) class, QRS durations as well as pacing parameters were recorded. Results: Mean age of the patients was 64.4 ± 7.01 (54 -79) years. Preoperative mean EF of the patients was 26.1% ± 3.7%. The LV electrode was placed at the optimal place on the lateral LV wall through left sided mini thoracotomy. The mean duration of the operation was 26.76  8.12 minutes and the mean hospital stay was 2.05  0.42 days. There were no intraoperative or postoperative complications. Only 1 patient had LV electrode displaced on the 3rd postoperative month and the patient was reoperated successfully. The EF on the 6th postoperative month was 29.4% ± 3.81% and NYHA class was 2.58 ± 0.5. The etiology of heart failure had no influence on outcome. Conclusions: Surgical implantation of LV lead is associated with low complication rates and excellent follow-up results without exposure to radiation. Thus epicardial leads can be proposed as equal alternative to transvenous leads.

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“…Finally, the median effective dose (E) to the patient per procedure was estimated. For this purpose, the contribution of each projection (PA; right anterior oblique, RAO; left anterior oblique, LAO; cranial, CR; caudal, CAUD; lateral, LAT) to the total P KA was estimated by a review of the literature [7,[24][25][26][27] and discussion with cardiologists and radiographers. P KA to E conversion factors were calculated for the aforementioned projections, using the PCXMC 2.0 (http://www.stuk.fi/pcxmc) Monte Carlo-based software.…”

Section: Methodsmentioning

confidence: 99%

Reference levels and patient doses in interventional cardiology procedures in Greece

et al. 2013

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Fluoroscopically Guided Implantation of Modern Cardiac Resynchronization Devices

Abstract: Radiation risks associated with fluoroscopically guided CRT procedures may be considerable. Present data may be used for the estimation of patient radiation risks from CRT procedures performed in other institutions.

Cited by 50 publications

References 16 publications

Cancer risk related to low-dose ionizing radiation from cardiac imaging in patients after acute myocardial infarction

Cancer risk related to low-dose ionizing radiation from cardiac imaging in patients after acute myocardial infarction

Surgical Results of Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy

Reference levels and patient doses in interventional cardiology procedures in Greece

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