{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:45:58Z","timestamp":1789515958072,"version":"build-2803163510"},"reference-count":40,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalradiologyonline.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Radiology"],"published-print":{"date-parts":[[2022,5]]},"DOI":"10.1016\/j.crad.2022.02.007","type":"journal-article","created":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T07:27:38Z","timestamp":1646465258000},"page":"e387-e393","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Factors affecting radiation exposure during transradial cardiac catheterisation and percutaneous coronary intervention"],"prefix":"10.1016","volume":"77","author":[{"given":"C.","family":"Mantis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Papadakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Anadiotis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Kafkas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Patsilinakos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.crad.2022.02.007_bib1","doi-asserted-by":"crossref","first-page":"2400","DOI":"10.1001\/jama.2012.5960","article-title":"Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996\u20132010","volume":"307","author":"Smith-Bindman","year":"2012","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.crad.2022.02.007_bib2","first-page":"298","article-title":"Beam projections and radiation exposure in transradial and transfemoral approaches during coronary angiography","volume":"18","author":"Tarighatnia","year":"2017","journal-title":"Anatol J Cardiol"},{"issue":"1","key":"10.1016\/j.crad.2022.02.007_bib3","first-page":"97","article-title":"Reduction of scatter radiation during transradial percutaneous coronary angiography: a randomized trial using a lead-free radiation shield","volume":"79","author":"Politi","year":"2012","journal-title":"Catheter Cardiovasc Interv"},{"issue":"4","key":"10.1016\/j.crad.2022.02.007_bib4","first-page":"442","volume":"90","author":"Fern\u00e1ndez-Rodr\u00edguez","year":"2020","journal-title":"Arch Cardiol Mex"},{"issue":"2","key":"10.1016\/j.crad.2022.02.007_bib5","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1093\/rpd\/ncy049","article-title":"An analysis of operating physician and patient radiation exposure during radial coronary angioplasties","volume":"182","author":"Tarighatnia","year":"2018","journal-title":"Radiat Prot Dosim"},{"key":"10.1016\/j.crad.2022.02.007_bib6","doi-asserted-by":"crossref","first-page":"745","DOI":"10.4244\/EIJV9I6A119","article-title":"A review of radiation exposures associated with radial cardiac catheterisation","volume":"9","author":"Park","year":"2013","journal-title":"EuroIntervention"},{"key":"10.1016\/j.crad.2022.02.007_bib7","doi-asserted-by":"crossref","first-page":"2481","DOI":"10.1016\/j.jacc.2012.06.017","article-title":"Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study","volume":"60","author":"Romagnoli","year":"2012","journal-title":"J Am Coll Cardiol"},{"issue":"9","key":"10.1016\/j.crad.2022.02.007_bib8","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1016\/j.amjcard.2006.12.038","article-title":"Comparison of access-related bleeding complications in women versus men undergoing percutaneous coronary catheterization using the radial versus femoral artery","volume":"99","author":"Pristipino","year":"2007","journal-title":"Am J Cardiol"},{"issue":"2","key":"10.1016\/j.crad.2022.02.007_bib9","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.jacc.2004.04.034","article-title":"Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials","volume":"44","author":"Agostoni","year":"2004","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.crad.2022.02.007_bib10","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.ahj.2012.01.015","article-title":"Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis","volume":"163","author":"Bertrand","year":"2012","journal-title":"Am Heart J"},{"key":"10.1016\/j.crad.2022.02.007_bib11","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/j.jacc.2013.08.1651","article-title":"ST-segment elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clinical trial: the STEMI-RADIAL trial","volume":"63","author":"Bernat","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.crad.2022.02.007_bib12","doi-asserted-by":"crossref","first-page":"9602942","DOI":"10.1155\/2020\/9602942","article-title":"Temporal trends in X-ray exposure during coronary angiography and percutaneous coronary intervention","volume":"2020","author":"Davidsen","year":"2020","journal-title":"J Interv Cardiol"},{"issue":"5","key":"10.1016\/j.crad.2022.02.007_bib13","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1161\/CIRCINTERVENTIONS.113.000220","article-title":"Clinical and procedural characteristics associated with higher radiation exposure during percutaneous coronary interventions and coronary angiography","volume":"6","author":"Delewi","year":"2013","journal-title":"Circ Cardiovasc Interv"},{"issue":"1","key":"10.1016\/j.crad.2022.02.007_bib14","first-page":"99","article-title":"Optimizing transradial access: radiation, contrast, access site crossover, and ergonomics","volume":"9","author":"Safirstein","year":"2020","journal-title":"Interv Cardiol Clin"},{"key":"10.1016\/j.crad.2022.02.007_bib15","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ahj.2017.02.012","article-title":"Determinants of operator radiation exposure during percutaneous coronary procedures","volume":"187","author":"Sciahbasi","year":"2017","journal-title":"Am Heart J"},{"issue":"6","key":"10.1016\/j.crad.2022.02.007_bib16","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/j.amjcard.2012.05.005","article-title":"Prospective registry of vascular access in interventions in Lazio Region (PREVAIL) Study Group. Comparison of the feasibility and effectiveness of transradial coronary angiography via right versus left radial artery approaches (from the PREVAIL Study)","volume":"110","author":"Pelliccia","year":"2012","journal-title":"Am J Cardiol"},{"issue":"2","key":"10.1016\/j.crad.2022.02.007_bib17","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.amjcard.2010.08.065","article-title":"Randomized comparison of transradial coronary angiography via right or left radial artery approaches","volume":"107","author":"Kanei","year":"2011","journal-title":"Am J Cardiol"},{"issue":"3","key":"10.1016\/j.crad.2022.02.007_bib18","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1016\/j.ijcard.2011.11.100","article-title":"Right versus left radial artery access for coronary procedures: an international collaborative systematic review and meta-analysis including 5 randomized trials and 3210 patients","volume":"166","author":"Biondi-Zoccai","year":"2013","journal-title":"Int J Cardiol"},{"issue":"5","key":"10.1016\/j.crad.2022.02.007_bib19","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1136\/hrt.2008.150474","article-title":"Radial artery anomaly and its influence on transradial coronary procedural outcome","volume":"95","author":"Lo","year":"2009","journal-title":"Heart"},{"key":"10.1016\/j.crad.2022.02.007_bib20","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1093\/europace\/eut022","article-title":"X-ray exposure hazards for physicians performing ablation procedures and device implantation: results of the European Heart Rhythm Association survey","volume":"15","author":"Marinskis","year":"2013","journal-title":"Europace"},{"key":"10.1016\/j.crad.2022.02.007_bib21","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1148\/radiographics.21.4.g01jl271033","article-title":"Fluoroscopy: patient radiation exposure issues","volume":"2","author":"Mahesh","year":"2001","journal-title":"RadioGraphics"},{"issue":"7","key":"10.1016\/j.crad.2022.02.007_bib22","first-page":"1387","article-title":"Radial versus femoral access for coronary interventions: an updated systematic review and meta-analysis of randomized trials","volume":"97","author":"Chiarito","year":"2021","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.crad.2022.02.007_bib23","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1093\/eurheartj\/ehx393","volume":"39","author":"Ibanez","year":"2018","journal-title":"Eur Heart J"},{"issue":"14","key":"10.1016\/j.crad.2022.02.007_bib24","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1093\/eurheartj\/ehaa575","article-title":"2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation","volume":"42","author":"Collet","year":"2021","journal-title":"Eur Heart J"},{"key":"10.1016\/j.crad.2022.02.007_bib25","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1093\/eurheartj\/ehy394","article-title":"2018 ESC\/EACTS guidelines on myocardial revascularization","volume":"40","author":"Neumann","year":"2019","journal-title":"Eur Heart J"},{"key":"10.1016\/j.crad.2022.02.007_bib26","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1177\/1358863X12445102","article-title":"An evidence-based score to detect prevalent peripheral artery disease (PAD)","volume":"17","author":"Duval","year":"2012","journal-title":"Vasc Med"},{"key":"10.1016\/j.crad.2022.02.007_bib27","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1067\/mhj.2002.122871","article-title":"Prevalence and clinical correlates of peripheral arterial disease in the Framingham Offspring Study","volume":"143","author":"Murabito","year":"2002","journal-title":"Am Heart J"},{"issue":"1","key":"10.1016\/j.crad.2022.02.007_bib28","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1002\/jmrs.315","article-title":"Factors contributing to radiation dose for patients and operators during diagnostic cardiac angiography","volume":"66","author":"Crowhurst","year":"2019","journal-title":"J Med Radiat Sci"},{"key":"10.1016\/j.crad.2022.02.007_bib29","doi-asserted-by":"crossref","first-page":"103725","DOI":"10.1016\/j.compbiomed.2020.103725","article-title":"Full feature selection for estimating KAP radiation dose in coronary angiographies and percutaneous coronary interventions","volume":"120","author":"Suomi","year":"2020","journal-title":"Comput Biol Med"},{"key":"10.1016\/j.crad.2022.02.007_bib30","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.carrev.2014.12.008","article-title":"Patient radiation exposure in right versus left trans-radial approach for coronary procedures","volume":"16","author":"Rigattieri","year":"2015","journal-title":"Cardiovasc Revasc Med"},{"key":"10.1016\/j.crad.2022.02.007_bib31","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.ahj.2010.10.003","article-title":"Transradial approach (left versus right) and procedural times during percutaneous coronary procedures: TALENT study","volume":"161","author":"Sciahbasi","year":"2011","journal-title":"Am Heart J"},{"key":"10.1016\/j.crad.2022.02.007_bib32","doi-asserted-by":"crossref","first-page":"963","DOI":"10.2147\/CIA.S64235","article-title":"A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations","volume":"9","author":"Hu","year":"2014","journal-title":"Clin Interv Aging"},{"key":"10.1016\/j.crad.2022.02.007_bib33","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/j.1540-8183.2011.00689.x","article-title":"Left radial versus right radial approach for coronary artery catheterization: a prospective comparison","volume":"25","author":"Dominici","year":"2012","journal-title":"J Interv Cardiol"},{"key":"10.1016\/j.crad.2022.02.007_bib34","article-title":"Left radial access is preferable to right radial access for the diagnostic or interventional coronary procedures: a meta analysis involving 22 randomized clinical trials and 10,287 patients","volume":"8","author":"Guo","year":"2013","journal-title":"PLoS One"},{"issue":"9","key":"10.1016\/j.crad.2022.02.007_bib35","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/j.jcin.2015.03.026","article-title":"Effect of vascular access site choice on radiation exposure during coronary angiography","volume":"8","author":"Pancholy","year":"2015","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.crad.2022.02.007_bib36","first-page":"38","article-title":"Comparison of procedural times, success rates, and safety between left versus right radial arterial access in primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction","volume":"78","author":"Larsen","year":"2011","journal-title":"Catheter Cardiovasc Interv"},{"issue":"21","key":"10.1016\/j.crad.2022.02.007_bib37","first-page":"S1443","article-title":"Impact of patient BMI on patient and operator radiation dose during percutaneous coronary intervention","author":"Crowhurst","year":"2021","journal-title":"Heart Lung Circ"},{"key":"10.1016\/j.crad.2022.02.007_bib38","first-page":"87","article-title":"Investigation of effect of body mass index of patient radiation dose during interventional cardiac processes","volume":"35","author":"Salah","year":"2018","journal-title":"J Sci Res Sci"},{"issue":"1","key":"10.1016\/j.crad.2022.02.007_bib39","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.118.006823","article-title":"Patient body mass index and physician radiation dose during coronary angiography","volume":"12","author":"Madder","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.crad.2022.02.007_bib40","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.ejmp.2020.05.006","article-title":"Patient exposure data and operator dose in coronary interventional procedures: impact of body-mass index and procedure complexity","volume":"76","author":"Zanca","year":"2020","journal-title":"Phys Med"}],"container-title":["Clinical Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0009926022000927?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0009926022000927?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T16:46:02Z","timestamp":1757868362000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0009926022000927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["S0009926022000927"],"URL":"https:\/\/doi.org\/10.1016\/j.crad.2022.02.007","relation":{},"ISSN":["0009-9260"],"issn-type":[{"value":"0009-9260","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Factors affecting radiation exposure during transradial cardiac catheterisation and percutaneous coronary intervention","name":"articletitle","label":"Article Title"},{"value":"Clinical Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.crad.2022.02.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}