Factors affecting radiation dose, radiation exposure time and procedural time in arterial embolization for active hemorrhage.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Emergency Radiology Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI:10.1007/s10140-024-02262-w

Youssef Ghosn, Mihran Khdhir, Yara Jabbour, David Dushfunian, Iyad Kobeissi, Nada Abbas, Chantal Akkari, Eva-Maria Kahwaji, Nadim Muallem

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Abstract

Purpose: To evaluate patient and procedure-related factors contributing to the radiation dose, cumulative fluoroscopy time (CFT), and procedural time (PT) of Arterial Embolization (AE) for suspected active bleeding.

Methods: Data on patients who underwent AE for suspected bleeding was retrospectively gathered between January 2019 and April 2022. Data collected included the dependent variables consisting of dose-area product (DAP), CFT, PT, and independent variables consisting of demographic, bleeding-specific, and procedure-specific parameters. All statistical computations were performed in SPSS statistics. The alpha value was set at 0.05.

Results: Data from a total of 148 AE were collected with an average patient's age of 61.06 ± 21.57 years. Higher DAP was independently associated with male sex (p < 0.002), age ranges between 46 and 65 years (p = 0.019) and > 66 years (p = 0.027), BMI above 30 (p = 0.016), attending with less than 10 years of experience (p = 0.01), and bleeding in the abdomen and pelvis (p = 0.027). Longer CFT was independently associated with attending with less than 10 years of experience (p < 0.001), having 2 (p = 0.004) or > 3 (p = 0.005) foci of bleed, and age between 46 and 65 years (p = 0.007) and ≥ 66 years (p = 0.017). Longer PT was independently associated with attending with less than 10 years of experience (p < 0.001) and having 2 (p = 0.014) or > 3 (p = 0.005) foci of bleed.

Conclusion: The interventionist experience influenced radiation dose, CFT and PT. Dose was also affected by patients' sex, age, BMI, as well as bleeding location. CFT was also affected by patients' age, and both CFT and PT were also affected by the number of bleeding foci. These findings highlight the multifaceted factors that affect radiation dose and procedural time, emphasizing the importance of interventionist expertise, patient's age, sex, BMI, location and number of bleeds.

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影响动脉栓塞治疗活动性出血的辐射剂量、辐射照射时间和手术时间的因素。

目的：评估导致疑似活动性出血的动脉栓塞术（AE）的辐射剂量、累积透视时间（CFT）和手术时间（PT）的患者和手术相关因素：回顾性收集了2019年1月至2022年4月期间因疑似出血而接受动脉栓塞术的患者数据。收集的数据包括由剂量-面积乘积（DAP）、CFT、PT组成的因变量，以及由人口统计学参数、出血特异性参数和手术特异性参数组成的自变量。所有统计计算均在 SPSS 统计软件中进行。α值设定为 0.05：共收集了 148 例 AE 的数据，患者平均年龄为 61.06 ± 21.57 岁。较高的 DAP 与男性（P 66 岁（P = 0.027））、体重指数高于 30（P = 0.016）、主治医师经验少于 10 年（P = 0.01）以及腹部和盆腔出血（P = 0.027）独立相关。CFT时间较长与主治医师经验不足10年（p 3）（p = 0.005）出血灶、年龄在46-65岁之间（p = 0.007）和≥66岁（p = 0.017）独立相关。PT时间较长与主治医师经验少于10年（P 3）（P = 0.005）出血灶独立相关：结论：介入医师的经验会影响辐射剂量、CFT 和 PT。剂量还受患者的性别、年龄、体重指数以及出血部位的影响。CFT也受患者年龄的影响，CFT和PT还受出血灶数量的影响。这些研究结果凸显了影响放射剂量和手术时间的多方面因素，强调了介入治疗师的专业知识、患者的年龄、性别、体重指数、出血位置和数量的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!