血管造影过程中的剂量负荷

N. Ivanova, Javor Ivanov
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摘要

在剂量学测量的基础上,本文比较了主要介入心脏病专家在血管造影过程中所接受的辐射剂量。比较了三种方法的剂量负荷:lld支架置入、lcl支架置入和rca支架置入。血管造影x线系统Philips Allura Xper FD10(带g臂)。所获得的剂量用x射线-伽马剂量计27091测量。在每个过程中,使用两种模式的设备-射线照相和透视。在操作者身体、头部、性腺和脚上的三个测量点以及患者桌子的三个位置(最低、最高和零)上,对每个血管造影程序的各自投影和各自程序中使用的设备的操作模式进行剂量测量。基于测量剂量值的计算结果显示了使用放射照相操作方式时间最长的过程中的最大剂量负荷,即rca支架置入。另外两种手术在x线摄影和透视上有相同的时间。从他们那里获得了更高的剂量负荷,用于手术lad支架置入。在研究的三种手术中,lcx支架置入的剂量负荷最低。
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Dose Load during Angiographic Procedures
On basis of dosimetric measurement, this article compares the radiation doses received by the main interventional cardiologist during the angiographic procedures. The dose load during three procedures is compared—LAD-stenting, LCx-stenting and RCA-stenting. An angiographic X-ray system Philips Allura Xper FD10 (with G-arm) was used. The dose obtained was measured with an X-ray-Gamma Dosimeter 27091. During each procedure, two modes of the equipment are used—radiography and fluoroscopy. The dose measurements were made for the respective projections of each angiographic procedure and for the operation modes of the equipment used during the respective procedure at three measurement points on the operator’s body—head, gonads and feet and at three position of the patient’s table—lowest, highest and zero. The results obtained from the calculations, based on the measured dose values, show maximum dose load in the procedure that uses the radiographic mode of operation for the longest time, namely RCA-stenting. The other two procedures have the same time on radiography and fluoroscopy. From them a higher dose load was obtained for the procedure LAD-stenting. Of the three procedures studied, the lowest dose load is obtained for the procedure LCx-stenting.
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