Utilization of an Optimized Radiation Strategy in Primary Percutaneous Coronary Intervention for Patients with ST-Segment-Elevation Myocardial Infarction
Joint Authors
Ge, Junbo
Qian, Juying
Gao, Wei
Zhong, Xin
Huang, Dong
Ge, Lei
Source
Cardiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Recent reports about radiation risk gradually raised the safety concerns for interventional therapy.
However, limited data exist on the optimized radiation strategy in primary percutaneous coronary intervention (P-PCI) for patients with ST-segment-elevation myocardial infarction (STEMI).
Methods.
A total of 214 STEMI patients undergoing P-PCI were retrospectively analyzed.
Patients were divided into the optimized radiation strategy (ORS) group (N = 151) and normal radiation strategy (NRS) group (N = 63) according to the radiation protocol utilized.
The primary endpoint was the relative dose reduction of total air kerma.
The secondary endpoint was 30-day major adverse cardiac and cerebrovascular events (MACCE), as a composite of all-cause death, reinfarction, ischemia-driven target vessel revascularization, and stroke.
Results.
Patient groups were well matched for baseline characteristics.
There were no differences in terms of age, body mass index, radial artery access, nonculprit vessel PCI, and fluoroscopy time between 2 groups.
With optimized radiation strategy, a 40.9% radiation dose reduction (901.2 ± 628.7 mGy versus 1524.0 ± 866.6 mGy, p<0.001) was obtained for total air kerma.
No significant differences were found for 30-day MACCE between 2 groups (2.0% versus 1.6%, adjusted hazard ratio: 0.7, 95% confidence interval: 0.1 to 8.6, p=0.772).
Conclusion.
With optimized radiation strategy, significant radiation dose reduction could be achieved in P-PCI for STEMI patients.
It appears to be feasible and safe to carry out the optimized radiation strategy in P-PCI for STEMI patients.
American Psychological Association (APA)
Zhong, Xin& Gao, Wei& Huang, Dong& Ge, Lei& Qian, Juying& Ge, Junbo. 2019. Utilization of an Optimized Radiation Strategy in Primary Percutaneous Coronary Intervention for Patients with ST-Segment-Elevation Myocardial Infarction. Cardiology Research and Practice،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1146024
Modern Language Association (MLA)
Zhong, Xin…[et al.]. Utilization of an Optimized Radiation Strategy in Primary Percutaneous Coronary Intervention for Patients with ST-Segment-Elevation Myocardial Infarction. Cardiology Research and Practice No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1146024
American Medical Association (AMA)
Zhong, Xin& Gao, Wei& Huang, Dong& Ge, Lei& Qian, Juying& Ge, Junbo. Utilization of an Optimized Radiation Strategy in Primary Percutaneous Coronary Intervention for Patients with ST-Segment-Elevation Myocardial Infarction. Cardiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1146024
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146024