{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T02:52:13Z","timestamp":1775616733889,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,5,4]],"date-time":"2012-05-04T00:00:00Z","timestamp":1336089600000},"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":[[2012,11,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To quantify the impact of relocation to a purpose built pediatric cardiac catheterization laboratory, on patient radiation dose and fluoroscopy time. To provide guide values for radiation exposure during common structural interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Design: A retrospective review of common structural cardiac interventions performed over 10\u2010years. The era comprised two 5\u2010year periods before and after relocation using different catheter laboratories. Multivariable analysis adjusted for the following variables: era (pre\u2010 and post\u2010move), year, operator seniority, patient age, procedure type. Setting: A quaternary referral congenital cardiac centre. Patients: All patients &lt;18 yrs (<jats:italic>n<\/jats:italic> = 756) in whom one of 6 common structural interventions were undertaken between 2000 and 2009. Main outcome measures: Radiation dose and fluoroscopy time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The move to the new laboratory (latter era) was associated with a dramatic reduction in multivariable\u2010adjusted radiation dose, ranging from 64% (aortic coarctation stenting) to 87% (patent arterial duct closure). There was also a year upon year increase in radiation dose of 5.2% [95% confidence interval (CI): 0.6\u201310.0%], which persisted after the relocation. However, this was associated with a 5.1% yearly decrease in fluoroscopy time (95% CI: \u22127.9 to \u22122.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of state\u2010of\u2010the\u2010art catheter equipment is associated with a dramatic reduction in radiation exposure. However, the surprising finding of year upon year increase in exposure (despite the new equipment) combined with decreased fluoroscopy time suggests a temporal decrease in hardware efficiency. This has major implications for hardware replacement. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24359","type":"journal-article","created":{"date-parts":[[2012,3,16]],"date-time":"2012-03-16T19:35:10Z","timestamp":1331926510000},"page":"931-936","source":"Crossref","is-referenced-by-count":24,"title":["Quantification of temporal, procedural, and hardware\u2010related factors influencing radiation exposure during pediatric cardiac catheterization"],"prefix":"10.1002","volume":"80","author":[{"given":"Benjamin G.","family":"Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane M.","family":"Tibby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shakeel A.","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Rosenthal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Krasemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,4]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01875120"},{"key":"e_1_2_7_3_2","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1001\/jama.1966.03100240125026","article-title":"Creation of an atrial septal defect without thoracotomy","volume":"196","author":"Rashkind WJ","year":"1966","journal-title":"JAMA"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-006-0191-5"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl014"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.098731"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951102000744"},{"key":"e_1_2_7_8_2","unstructured":"Available at:http:\/\/www.aepc.org\/european\u2010paediatric\u2010cardiac\u2010codi\/. 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