The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography

Abstract The aim was to analyze the effect of fractional flow reserve (FFR), intravascular ultrasound (IVUS) and optical coherence tomography (OCT) on fluoroscopy time (FT), radiation dose (RD) and contrast volume (CV) in patients undergoing coronary angiography. This case-control study included con...

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Autores principales:	Fernando De la Garza-Salazar, Diana Lorena Lankenau-Vela, Bertha Cadena-Nuñez, Arnulfo González-Cantú, Maria Elena Romero-Ibarguengoitia
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ca49ddf5fd1441a6a0934c15c66a32e0
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spelling	oai:doaj.org-article:ca49ddf5fd1441a6a0934c15c66a32e02021-12-02T18:27:50ZThe Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography10.1038/s41598-020-63791-12045-2322https://doaj.org/article/ca49ddf5fd1441a6a0934c15c66a32e02020-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-63791-1https://doaj.org/toc/2045-2322Abstract The aim was to analyze the effect of fractional flow reserve (FFR), intravascular ultrasound (IVUS) and optical coherence tomography (OCT) on fluoroscopy time (FT), radiation dose (RD) and contrast volume (CV) in patients undergoing coronary angiography. This case-control study included consecutive patients above the age of 18, who underwent coronary angiography. FT, RD, and CV after each procedure were retrospectively recorded. Multivariate models were used to demonstrate the effect of these complementary studies and other factors, on radiation and contrast exposure. A total of 1047 patients were included, 74.5% were men and the mean (SD) age was 62.4 (12.1) years. Complementary studies performed were: IVUS (n = 237), FFR (n = 56) and OCT (n = 37). FFR and IVUS had a small effect on FT (η = 0.008 B = 2.2, p < 0.001; η = 0.009, B = 2.5, p < 0.001), while OCT had no effect (η = 0.002 B = 2.9, p < 0.183). IVUS, FFR and OCT had no effect on the RD. IVUS did not affect contrast volume (η = 0.002 B = 9.4, p < 0.163) while OCT and FFR had a small effect on CV (η = 0.006 B = 39, p < 0.01; η = 0.008 B = 37, p < 0.003). The number of placed stents had a significant effect on FT (η = 0.192, Β = 4.2, p < 0.001), RD (η = 0.129, Β = 511.8, p < 0.001) and CV (η = 0.177, Β = 40.5, p < 0.001). The use of complementary studies in hemodynamics did not modify the received RD and had a minor effect on FT and the CV used.Fernando De la Garza-SalazarDiana Lorena Lankenau-VelaBertha Cadena-NuñezArnulfo González-CantúMaria Elena Romero-IbarguengoitiaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fernando De la Garza-Salazar Diana Lorena Lankenau-Vela Bertha Cadena-Nuñez Arnulfo González-Cantú Maria Elena Romero-Ibarguengoitia The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
description	Abstract The aim was to analyze the effect of fractional flow reserve (FFR), intravascular ultrasound (IVUS) and optical coherence tomography (OCT) on fluoroscopy time (FT), radiation dose (RD) and contrast volume (CV) in patients undergoing coronary angiography. This case-control study included consecutive patients above the age of 18, who underwent coronary angiography. FT, RD, and CV after each procedure were retrospectively recorded. Multivariate models were used to demonstrate the effect of these complementary studies and other factors, on radiation and contrast exposure. A total of 1047 patients were included, 74.5% were men and the mean (SD) age was 62.4 (12.1) years. Complementary studies performed were: IVUS (n = 237), FFR (n = 56) and OCT (n = 37). FFR and IVUS had a small effect on FT (η = 0.008 B = 2.2, p < 0.001; η = 0.009, B = 2.5, p < 0.001), while OCT had no effect (η = 0.002 B = 2.9, p < 0.183). IVUS, FFR and OCT had no effect on the RD. IVUS did not affect contrast volume (η = 0.002 B = 9.4, p < 0.163) while OCT and FFR had a small effect on CV (η = 0.006 B = 39, p < 0.01; η = 0.008 B = 37, p < 0.003). The number of placed stents had a significant effect on FT (η = 0.192, Β = 4.2, p < 0.001), RD (η = 0.129, Β = 511.8, p < 0.001) and CV (η = 0.177, Β = 40.5, p < 0.001). The use of complementary studies in hemodynamics did not modify the received RD and had a minor effect on FT and the CV used.
format	article
author	Fernando De la Garza-Salazar Diana Lorena Lankenau-Vela Bertha Cadena-Nuñez Arnulfo González-Cantú Maria Elena Romero-Ibarguengoitia
author_facet	Fernando De la Garza-Salazar Diana Lorena Lankenau-Vela Bertha Cadena-Nuñez Arnulfo González-Cantú Maria Elena Romero-Ibarguengoitia
author_sort	Fernando De la Garza-Salazar
title	The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
title_short	The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
title_full	The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
title_fullStr	The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
title_full_unstemmed	The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography
title_sort	effect of functional and intra-coronary imaging techniques on fluoroscopy time, radiation dose and contrast volume during coronary angiography
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/ca49ddf5fd1441a6a0934c15c66a32e0
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The Effect of Functional and Intra-Coronary Imaging Techniques on Fluoroscopy Time, Radiation Dose and Contrast Volume during Coronary Angiography

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