RAdiation Dose In percutANeuos Coronary Procedures Through Transradial Approach (RADIANT Observational Study)

Ospedale Sandro Pertini, Roma

Status: Completed

Conditions: Radiation Exposure

Treatments: Radiation: Radiation dose

Study type: Observational

Funder types: Other

Identifiers

NCT01974453

Pertini3

Details and patient eligibility

About

Radiation issue during percutaneous coronary interventions is an important issue for operators due to the long term stochastic risk of cancer induction, but is often under-evaluated. Many factors may be associated with the radiation dose adsorbed by operators. In particular the most important are the position taken by the operator, the use of dedicated X-ray shield and the duration of the procedure. However other factors (as operator height or the angulation of the radiation tube) might have some important effects but are often under-evaluated .

Aim of our observational study is to evaluate the most important determinants of the radiation dose adsorbed by operators during different coronary procedures (diagnostic coronary angiography or percutaneous coronary interventions) and through different vascular accesses (right or left transradial approach or transfemoral approach).

All patients who underwent to percutaneous coronary diagnostic or interventional procedures will be enrolled in this observational study.

Each operator will be equipped with dedicated dosimeters placed at left wrist, at thorax level outside the lead apron and at head level to evaluate the radiation dose at crystalline. Effective doses delivered to patients will be expressed as dose area product (DAP) and measured in Gycm2.

Enrollment: 2,028 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

All patients who underwent to percutaneous coronary diagnostic or interventional procedures

Exclusion criteria

hemodynamic instability, age <18 years

Trial design

2,028 participants in 3 patient groups

Right transradial

Description:

Procedures performed through right transradial approach

Treatment:

Radiation: Radiation dose

Left transradial

Description:

Procedures performed through left transradial approach

Treatment:

Radiation: Radiation dose

Femoral

Description:

Procedures performed through transfemoral approach

Treatment:

Radiation: Radiation dose