Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation

Aims. To evaluate the estimated fetal radiation dose during prophylactic internal iliac arterial occlusion in patients with abnormal placenta and to estimate the risk of radiation induced cancer in child age. Methods. Prophylactic occlusion of the internal iliac arteries during Caesarean section was...

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Autores principales:	Marie Cerna, Karel Huml, Martin Kocher, Lenka Jonasova, Tomas Vavra, Vojtech Prasil
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	placenta praevia placenta accreta spectrum prophylactic occlusion internal iliac arteries fetus radiation dose Medicine R
Acceso en línea:	https://doaj.org/article/c3009ee8e4204834b1498490d4a2ccb0
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spelling	oai:doaj.org-article:c3009ee8e4204834b1498490d4a2ccb02021-11-29T09:17:21ZEstimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation1213-81181804-7521https://doaj.org/article/c3009ee8e4204834b1498490d4a2ccb02021-11-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202104-0013_estimating-the-radiation-dose-to-the-fetus-during-prophylactic-internal-iliac-occlusion-in-patients-with-abnorm.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Aims. To evaluate the estimated fetal radiation dose during prophylactic internal iliac arterial occlusion in patients with abnormal placenta and to estimate the risk of radiation induced cancer in child age. Methods. Prophylactic occlusion of the internal iliac arteries during Caesarean section was performed in 42 patients with placenta praevia and/or placenta accreta spectrum. Fogarty embolectomy catheters were used for prophylactic occlusion of the internal iliac arteries. All procedures were performed in the hybrid operating room using Philips Allura Xper FD 20 X-ray system. Low dose X-ray fluoroscopy (7.5 frames per second) was used. The CODE (Conceptus dose estimation) Software was used to estimate the fetal dose and the risk of radiation induced carcinoma. Results. Fluoroscopy times required for insertion of Fogarty catheters were 0.5-4.2 min (mean: 1.7 min, median: 1.5 min). The estimated radiation dose to the fetus was 0.26-3.36 mGy (mean: 1.49 mGy, median: 1.25 mGy). The risk of radiation induced cancer in child age was 0.01-0.04% (mean 0.02%, median 0.01%). One patient developed thrombosis of a common femoral artery. Conclusion. Prophylactic occlusion of the internal iliac arteries is a simple and safe procedure with minimal risk of complications and with a very low estimated radiation dose to the fetus.Marie CernaKarel HumlMartin KocherLenka JonasovaTomas VavraVojtech PrasilPalacký University Olomouc, Faculty of Medicine and Dentistryarticleplacenta praeviaplacenta accreta spectrumprophylactic occlusioninternal iliac arteriesfetus radiation doseMedicineRENBiomedical Papers, Vol 165, Iss 4, Pp 435-440 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	placenta praevia placenta accreta spectrum prophylactic occlusion internal iliac arteries fetus radiation dose Medicine R
spellingShingle	placenta praevia placenta accreta spectrum prophylactic occlusion internal iliac arteries fetus radiation dose Medicine R Marie Cerna Karel Huml Martin Kocher Lenka Jonasova Tomas Vavra Vojtech Prasil Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
description	Aims. To evaluate the estimated fetal radiation dose during prophylactic internal iliac arterial occlusion in patients with abnormal placenta and to estimate the risk of radiation induced cancer in child age. Methods. Prophylactic occlusion of the internal iliac arteries during Caesarean section was performed in 42 patients with placenta praevia and/or placenta accreta spectrum. Fogarty embolectomy catheters were used for prophylactic occlusion of the internal iliac arteries. All procedures were performed in the hybrid operating room using Philips Allura Xper FD 20 X-ray system. Low dose X-ray fluoroscopy (7.5 frames per second) was used. The CODE (Conceptus dose estimation) Software was used to estimate the fetal dose and the risk of radiation induced carcinoma. Results. Fluoroscopy times required for insertion of Fogarty catheters were 0.5-4.2 min (mean: 1.7 min, median: 1.5 min). The estimated radiation dose to the fetus was 0.26-3.36 mGy (mean: 1.49 mGy, median: 1.25 mGy). The risk of radiation induced cancer in child age was 0.01-0.04% (mean 0.02%, median 0.01%). One patient developed thrombosis of a common femoral artery. Conclusion. Prophylactic occlusion of the internal iliac arteries is a simple and safe procedure with minimal risk of complications and with a very low estimated radiation dose to the fetus.
format	article
author	Marie Cerna Karel Huml Martin Kocher Lenka Jonasova Tomas Vavra Vojtech Prasil
author_facet	Marie Cerna Karel Huml Martin Kocher Lenka Jonasova Tomas Vavra Vojtech Prasil
author_sort	Marie Cerna
title	Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
title_short	Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
title_full	Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
title_fullStr	Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
title_full_unstemmed	Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
title_sort	estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/c3009ee8e4204834b1498490d4a2ccb0
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Estimating the radiation dose to the fetus during prophylactic internal iliac occlusion in patients with abnormal placentation

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