Patient Radiation Dose During Bifurcation Percutaneous Coronary Intervention

Rempakos A., Strepkos D., Carvalho P., Mutlu D., Alexandrou M., Yıldırım U., ...Daha Fazla

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, sa.18, 2024 (SCI-Expanded, Scopus) identifier

  • Yayın Türü: Makale / Özet
  • Basım Tarihi: 2024
  • Dergi Adı: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, CINAHL, International Pharmaceutical Abstracts, Veterinary Science Database, Nature Index
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

BACKGROUND There is limited information regarding patient radiation dose during bifurcation percutaneous coronary interventions (PCI).

METHODS We examined the association of clinical and angiographic characteristics with patient air kerma (AK) radiation dose during 787 PCIs involving 916 bifurcation lesions performed at 5 centers between 2014 and 2024 from PROGRESS-BIRFUCATION (Prospective Global Registry for the Study of Bifurcation Lesion Interventions; NCT05100992).

RESULTS The mean and median radiation dose was 1.72  1.21 Gy and 1.40 Gy (Q1-Q3: 0.90-2.16 Gy) respectively. Approximately 25.0% of patients received >2.16 Gy of AK radiation (high radiation dose group). There were no significant differences in side branch occlusion occurrence (17.4% vs 16.3%; P ¼ 0.813), technical success (93.0% vs

95.6%; P ¼ 0.141), and major adverse cardiac events (6.1% vs 4.6%; P ¼ 0.396) between high and low radiation dose cases. On univariable linear regression analysis, male gender (P < 0.001), body mass index (BMI) (P < 0.001), diabetes mellitus (P ¼ 0.007), prior PCI (P ¼ 0.021), prior coronary artery bypass graft (P ¼ 0.005), proximal main vessel

lesion length (P ¼ 0.008), proximal main vessel calcification (P ¼ 0.012), distal main vessel lesion length (P ¼ 0.004), side branch lesion length (P < 0.001), side branch calcification, and presence of true bifurcation (P ¼ 0.021) were associated with higher radiation dose, whereas age (P ¼ 0.033) was associated with lower radiation dose. On

multivariable linear regression analysis, gender, BMI, distal main vessel lesion length, and side branch calcification were independently associated with higher radiation dose (Table).

CONCLUSION We found several patient and angiographic characteristics, including gender, BMI, distal main vessel lesion length, and side branch calcification, independently associated with increased patient radiation dose during bifurcation PCI.