{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T02:52:14Z","timestamp":1775616734347,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T00:00:00Z","timestamp":1487116800000},"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":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study sought to update benchmark values to use a quality measure prospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Congenital Cardiac Catheterization Outcomes Project \u2013 Quality Improvement (C3PO\u2010QI), a multi\u2010center registry, defined initial radiation dose benchmarks retrospectively across common interventional procedures. These data facilitated a dose metric endorsed by the American College of Cardiology in 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data was collected prospectively by 9 C3PO\u2010QI institutions with complete case capture between 1\/1\/2014 and 6\/30\/2015. Radiation was measured in total air kerma (mGy), dose area product (DAP) (\u00b5Gy*<jats:italic>M<\/jats:italic><jats:sup>2<\/jats:sup>), DAP per body weight, and fluoroscopy time (min), and reported by age group as median, 75<jats:sup>th<\/jats:sup> and 95<jats:sup>th<\/jats:sup>%ile for the following six interventional procedures: (1) atrial septal defect closure; (2) aortic valvuloplasty; (3) treatment of coarctation of the aorta; (4) patent ductus arteriosus closure; (5) pulmonary valvuloplasty; and (6) transcatheter pulmonary valve implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study was comprised of 1,680 unique cases meeting inclusion criteria. Radiation doses were lowest for pulmonary valvuloplasty (age &lt;1 yrs, median mGy: 59, DAP: 249) and highest in transcatheter pulmonary valve implantation (age &gt;15 yrs, median mGy: 1835, DAP: 17990). DAP\/kg standardized outcome measures across weights within an age group and procedure type significantly more than DAP alone. Radiation doses decreased for all procedures compared to those reported previously by both median and median weight\u2010based percentile curves. These differences in radiation exposure were observed without changes in median fluoroscopy time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study updates previously established benchmarks to reflect QI efforts over time. These thresholds can be applied for quality measurement and comparison. \u00a9 2017 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26911","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T11:46:42Z","timestamp":1487159202000},"page":"269-280","source":"Crossref","is-referenced-by-count":36,"title":["Radiation dose benchmarks in pediatric cardiac catheterization: A prospective multi\u2010center C3PO\u2010QI study"],"prefix":"10.1002","volume":"90","author":[{"given":"Priscila C.","family":"Cevallos","sequence":"first","affiliation":[{"name":"Department of Cardiology Boston Children's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee K.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Department of Cardiology Nationwide Children's Hospital Columbus Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew C.","family":"Glatz","sequence":"additional","affiliation":[{"name":"Cardiac Center, The Children's Hospital of Philadelphia Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan H.","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Cardiology Cincinnati Children's Hospital Cincinnati Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd M.","family":"Gudausky","sequence":"additional","affiliation":[{"name":"Division of Cardiology Children's Hospital of Wisconsin Milwaukee Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan A.","family":"Leahy","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kosair Children's Hospital Louisville Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Petit","sequence":"additional","affiliation":[{"name":"Department of Cardiology Children's Healthcare of Atlanta Sibley Heart Center Atlanta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shabana","family":"Shahanavaz","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology St. Louis Children's Hospital St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara M.","family":"Trucco","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Children's Hospital of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa J.","family":"Bergersen","sequence":"additional","affiliation":[{"name":"Department of Cardiology Boston Children's Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151098.52656.3A"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.6.609"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.162.1.8273659"},{"key":"e_1_2_7_5_1","unstructured":"National Council on Radiation Protection and Measurements. 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