{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T03:02:59Z","timestamp":1782615779023,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,6,16]],"date-time":"2011-06-16T00:00:00Z","timestamp":1308182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background:<\/jats:bold> Increasingly complex structural\/congenital cardiac interventions require efforts at reducing patient\/staff radiation exposure. Standard follow\u2010up protocols are often inadequate in detecting all patients that may have sustained radiation burns. <jats:bold>Methods:<\/jats:bold> Single\u2010center retrospective chart review divided into four intervals. Phase 1 (07\/07\u201306\/08, 413 procedures (proc)): follow\u2010up based on fluoroscopy time only; frame rate for digital acquisition (DA) 30 fps, and fluoroscopy (FL) 30 fps. Dose\u2010based follow\u2010up was used for phase 2\u20134. Phase 2 (07\/08\u201308\/09, 458 proc): DA: 30 fps, FL: 15 fps. Phase 3 (09\/09\u201306\/10, 350 proc): DA: 15\u201330 fps, FL: 15 fps, use of added radiation protection drape. Phase 4 (07\/10\u201310\/10, 89 proc): DA: 15\u201330 fps, FL: 15 fps, superior noise reduction filter (SNRF) with high\u2010quality fluoro\u2010record capabilities. <jats:bold>Results:<\/jats:bold> There was a significant reduction in the median cumulative air kerma between the four study periods (710 mGy vs. 566 mGy vs. 498 mGy vs. 241 mGy, <jats:italic>P<\/jats:italic> &lt; 0.001), even though the overall fluoroscopy times remained very similar (25 min vs. 26 min vs. 26 min vs. 23 min, <jats:italic>P<\/jats:italic> = 0.957). There was a trend towards lower physician radiation exposure over the four study periods (137 mrem vs. 126 mrem vs. 108 mrem vs. 59 mrem, <jats:italic>P<\/jats:italic> = 0.15). Fifteen patients with radiation burns were identified during the study period. When changing to a dose\u2010based follow\u2010up protocol (phase 1 vs. phase 2), there was a significant increase in the incidence of detected radiation burns (0.5% vs. 2%, <jats:italic>P<\/jats:italic> = 0.04). <jats:bold>Conclusions:<\/jats:bold> Dose\u2010based follow\u2010up protocols are superior in detecting radiation burns when compared to fluoroscopy time\u2010based protocols. Frame rate reduction of fluoroscopy and cine acquisition and use of modified imaging equipment can achieve a significant reduction to patient\/staff exposure. \u00a9 2011 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.23008","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:31:32Z","timestamp":1308342692000},"page":"136-142","source":"Crossref","is-referenced-by-count":19,"title":["Use of a dose\u2010dependent follow\u2010up protocol and mechanisms to reduce patients and staff radiation exposure in congenital and structural interventions"],"prefix":"10.1002","volume":"78","author":[{"given":"Jaclynn M.","family":"Sawdy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya Maria","family":"Kempton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Olshove","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Gocha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne L.","family":"Chisolm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L.","family":"Hill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Kirk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Cheatham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf J.","family":"Holzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,16]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.440"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.904458"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl014"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22867"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2009.07.021"},{"key":"e_1_2_5_7_2","first-page":"17","article-title":"Patient dose in cardiac radiology","volume":"50","author":"Stratis AI","year":"2009","journal-title":"Hellenic J Cardiol"},{"key":"e_1_2_5_8_2","first-page":"437","article-title":"Radiation protection during hybrid procedures: Innovation creates new challenges","volume":"21","author":"Sawdy JM","year":"2009","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22266"},{"key":"e_1_2_5_10_2","unstructured":"DoyleT BergersenL ArmstrongA LatsonL OwadaC NykanenD EverettAD HolzerR LockJ KreutzerJ HubbellM ForbesTJ.Radiation Dose Metric. Poster presented at the Annual Scientific Session of the ACC 2010 in Atlanta.2010."},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2010.02.004"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.23008","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.23008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T13:17:30Z","timestamp":1696943850000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.23008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,16]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,7]]}},"alternative-id":["10.1002\/ccd.23008"],"URL":"https:\/\/doi.org\/10.1002\/ccd.23008","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6,16]]}}}