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    동적 심혈관 로드맵을 이용한 중재적 시술이 투시 시간 및 환자 피폭에 미치는 영향 = Effects of Single Vessel PCI (Percutaneous Coronary Intervention) using DCR (Dynamic Coronary Road map) on Fluoroscopy Time and Patient Radiation

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    https://www.riss.kr/link?id=A108737161

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Angiography equipment is used to evaluate and treat coronary artery disease. As a common feature of equipment, radiation is used, and function development for dose reduction is being carried out by each company. Therefore, the difference depending on whether DCR installed in angiography equipment is used is analyzed from a radiological point of view to prove the effect. Among 431 patients who underwent coronary artery intervention from March 2021 to February 2023, 250 patients with retrospective data were selected. And than among the 250 subjects obtained, 91 patients used the cardiovascular roadmap function during single-vessel intervention, and 159 patients did not use the roadmap. When DCR was used, total dose area product (34.57 uGy/m2 : 69.15 uGy/m2), total air kerma dose (688.47 mGy : 1640.4 mGy), fluoroscopy dose (23.87 uGy/m2 : 49.91 uGy/m2) and fluoroscopy time (723.55 s : 366.03 s), total number of images (17 : 26) showed lower values and were statistically significant than those not used. The use of DCR function in single vessel coronary intervention is thought to be radiologically safer as single vessel coronary intervention using dynamic cardiovascular DCR showed lower perspective time and perspective dose than procedures performed without the DCR.
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    Angiography equipment is used to evaluate and treat coronary artery disease. As a common feature of equipment, radiation is used, and function development for dose reduction is being carried out by each company. Therefore, the difference depending on ...

    Angiography equipment is used to evaluate and treat coronary artery disease. As a common feature of equipment, radiation is used, and function development for dose reduction is being carried out by each company. Therefore, the difference depending on whether DCR installed in angiography equipment is used is analyzed from a radiological point of view to prove the effect. Among 431 patients who underwent coronary artery intervention from March 2021 to February 2023, 250 patients with retrospective data were selected. And than among the 250 subjects obtained, 91 patients used the cardiovascular roadmap function during single-vessel intervention, and 159 patients did not use the roadmap. When DCR was used, total dose area product (34.57 uGy/m2 : 69.15 uGy/m2), total air kerma dose (688.47 mGy : 1640.4 mGy), fluoroscopy dose (23.87 uGy/m2 : 49.91 uGy/m2) and fluoroscopy time (723.55 s : 366.03 s), total number of images (17 : 26) showed lower values and were statistically significant than those not used. The use of DCR function in single vessel coronary intervention is thought to be radiologically safer as single vessel coronary intervention using dynamic cardiovascular DCR showed lower perspective time and perspective dose than procedures performed without the DCR.

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    참고문헌 (Reference)

    1 T. Yabe, "The impact of percutaneous coronary intervention using the novel dynamic coronary roadmap system" 35 : 323-330, 2020

    2 K. Piayda, "TCT-365 Dynamic Coronary Roadmap for Percutaneous Coronary Intervention Effectively Reduces Contrast Medium Exposure : Insights From an Open-Label, Randomized Trial" 78 (78): 150-, 2021

    3 C. Cousins, "Radiological Protection in Cardiology, ICRP Publlication 120" 1-152, 2016

    4 A. K. Rajappan, "Pilot Study of Dynamic Coronary Roadmap During Coronary Angioplasty" 69 (69): 2017

    5 G. v. Soest, "Intravascular imaging for characterization of coronary atherosclerosis" 3 (3): 1-12, 2017

    6 H. Ma, "Dynamic coronary roadmapping via catheter tip tracking in X-ray fluoroscopy with deep learning based Bayesian filtering" 61 : 101634-, 2020

    7 K. Piayda, "Dynamic coronary roadmapping during percutaneous coronary intervention : a feasibility study" 23 (23): 1-7, 2018

    8 K. Piayda, "Dynamic Coronary Roadmap in Percutaneous Coronary Intervention : Results From an Open-Label, Randomized Trial" 14 (14): 2523-2529, 2021

    9 I. Suh, "Coronary Heart Disease : Epidemiology in Korea" 45 (45): 851-859, 2002

    10 ICRP Publication, "Avoidance of radiation injuries from medical interventional procedures" Hanyang University 1-72, 2000

    1 T. Yabe, "The impact of percutaneous coronary intervention using the novel dynamic coronary roadmap system" 35 : 323-330, 2020

    2 K. Piayda, "TCT-365 Dynamic Coronary Roadmap for Percutaneous Coronary Intervention Effectively Reduces Contrast Medium Exposure : Insights From an Open-Label, Randomized Trial" 78 (78): 150-, 2021

    3 C. Cousins, "Radiological Protection in Cardiology, ICRP Publlication 120" 1-152, 2016

    4 A. K. Rajappan, "Pilot Study of Dynamic Coronary Roadmap During Coronary Angioplasty" 69 (69): 2017

    5 G. v. Soest, "Intravascular imaging for characterization of coronary atherosclerosis" 3 (3): 1-12, 2017

    6 H. Ma, "Dynamic coronary roadmapping via catheter tip tracking in X-ray fluoroscopy with deep learning based Bayesian filtering" 61 : 101634-, 2020

    7 K. Piayda, "Dynamic coronary roadmapping during percutaneous coronary intervention : a feasibility study" 23 (23): 1-7, 2018

    8 K. Piayda, "Dynamic Coronary Roadmap in Percutaneous Coronary Intervention : Results From an Open-Label, Randomized Trial" 14 (14): 2523-2529, 2021

    9 I. Suh, "Coronary Heart Disease : Epidemiology in Korea" 45 (45): 851-859, 2002

    10 ICRP Publication, "Avoidance of radiation injuries from medical interventional procedures" Hanyang University 1-72, 2000

    11 J. M. Kim, "A study on the dose comparison according to the use of vascular roadmap and blended roadmap during TACE procedure" 16 (16): 210-215, 2013

    12 S. H. Cho, "A study on the difference in exposure dose between DSA and Roadmap and the use of Roadmap" 16 (16): 277-283, 2013

    13 O. J. Park, "A Survey on the Delay Time Before Seeking Treatment and Clinical Symptoms in Patients with Acute Myocardial Infarction" 30 (30): 659-669, 2000

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