A comparative study of X-ray projection doses during leadless pacemaker and conventional single chamber ventricular pacemaker implantation_Chinese Journal of Evidence-Based Medicine

Authors：

HUANG He ¹ ,  XU Yuanning ² , ZHOU Xuan ¹

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

XU Yuanning, Email: xuyuanning@hotmail.com

Keywords：

Leadless pacemaker; Single chamber pacemaker; X-ray projection dose

DOI：

10.7507/1672-2531.202201061

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the X-ray projection doses during leadless pacemaker implantation and conventional single chamber ventricular pacemaker (VVI) implantation. Methods This study included all patients who underwent leadless pacemaker implantation and VVI pacemaker implantation performed by the same principal investigator team using the same digital subtraction angiography (DSA) machine in the West China Hospital of Sichuan University from August 3^rd, 2018 to February 18^th, 2020. Among the enrolled patients, 27 who underwent leadless pacemaker implantation were included in the case group, whereas 38 who underwent conventional VVI implantation were included in the control group. Data regarding the intraoperative dose area product (DAP), air kerma (AK), duration of X-ray fluoroscopy, number of exposed sequences on the film, total number of frames on the film, operation time, and BMI were collected to investigate the causes of the differences. Results The case group received a higher X-ray projection dose than the control group, and there were statistically significant differences between the two groups in terms of DAP, AK, duration of X-ray fluoroscopy, the number of exposed sequences on the film, the total number of frames on the film, and operation time (P<0.05). Conclusion Patients who underwent leadless pacemaker implantation are exposed to more radiation than those who underwent conventional VVI implantation.

Citation： HUANG He, XU Yuanning, ZHOU Xuan. A comparative study of X-ray projection doses during leadless pacemaker and conventional single chamber ventricular pacemaker implantation. Chinese Journal of Evidence-Based Medicine, 2022, 22(9): 999-1002. doi: 10.7507/1672-2531.202201061 Copy

1.	岱钦, 高关心, 夏慧琳, 等. 医用直线加速器的辐射危害与防护. 中国医学装备, 2019, 16(4): 157-160.
2.	傅骏, 陆翊平. 分析X线辐射对人体的危害及预防. 世界最新医学信息文摘(连续型电子期刊), 2018, 18(33): 114.
3.	沈法荣, 何浪. 无导线起搏器研究进展. 心电与循环, 2020, 39(3): 215-219.
4.	牛云茜, 谭冠昶, 柯于梵, 等. 23例MicraTPS微型无导线起搏器初步临床应用经验. 中国心脏起搏与心电生理杂志, 2018, 32(5): 431-433.
5.	郑钧正. 放射诊疗的蓬勃发展亟需强化医疗照射防护. 医学研究杂志, 2012, 41(10): 2-4.
6.	Charles M. UNSCEAR report 2000: sources and effects of ionizing radiation. United Nations Scientific Comittee on the effects of atomic radiation. J Radiol Prot, 2001, 21(1): 83-86.
7.	Le Coultre R, Bize J, Champendal M, et al. Exposure of the swiss population by radiodiagnostics: 2013 review. Radiat Prot Dosimetry, 2016, 169(1-4): 221-224.
8.	杨博鑫, 李言, 武王将, 等. 心血管介入手术辐射剂量影响因素的分析. 北京生物医学工程, 2019, 38(2): 171-176.
9.	de Ruiter QM, Gijsberts CM, Hazenberg CE, et al. Radiation awareness for endovascular abdominal aortic aneurysm repair in the hybrid operating room. an instant patient risk chart for daily practice. J Endovasc Ther, 2017, 24(3): 425-434.
10.	朱纯生, 李锋. 急性冠状动脉综合征介入患者辐射剂量分析. 实用医学影像杂志, 2020, 21(1): 11-13.
11.	曾亚莉, 李红梅, 郑玉建, 等. 107例数字减影血管造影受检者所受辐射剂量分析. 中华放射医学与防护杂志, 2015, 35(6): 475-478.
12.	王建利. 先天性心脏病患儿介入治疗过程所受辐射剂量及其影响因素分析. 实用医学影像杂志, 2018, 19(6): 481-483.
13.	陆政德, 石磊, 覃绍明, 等. Micra无导线起搏器和传统起搏器的近期临床疗效比较. 中国心脏起搏与心电生理杂志, 2022, 36(1): 22-25.
14.	白剑, 蓝荣芳, 徐伟, 等. 无导线起搏器在起搏装置感染移除术后患者中的初步临床应用. 中华心律失常学杂志, 2021, 25(1): 56-60.
15.	梁静, 史冬梅, 赵迎新, 等. 无导线起搏器临床应用的初步探讨及随访结果分析. 心肺血管病杂志, 2020, 39(12): 1440-1443,1456.
16.	李巧元, 郭成军, 方冬平, 等. 心室无导线起搏器经胸3. 0T核磁共振检查的安全性研究. 中国心脏起搏与心电生理杂志, 2020, 34(3): 278-280.
17.	刘伟宾, 黄连军, 郭久芳, 等. 冠心病介入诊疗中透视与电影辐射剂量率对比分析. 介入放射学杂志, 2015, (6): 524-527.
18.	GB16348-2010《医用X射线诊断受检者放射卫生防护标准》开始生效. 中国个体防护装备, 2011, (5): 28.

1. 岱钦, 高关心, 夏慧琳, 等. 医用直线加速器的辐射危害与防护. 中国医学装备, 2019, 16(4): 157-160.
2. 傅骏, 陆翊平. 分析X线辐射对人体的危害及预防. 世界最新医学信息文摘(连续型电子期刊), 2018, 18(33): 114.
3. 沈法荣, 何浪. 无导线起搏器研究进展. 心电与循环, 2020, 39(3): 215-219.
4. 牛云茜, 谭冠昶, 柯于梵, 等. 23例MicraTPS微型无导线起搏器初步临床应用经验. 中国心脏起搏与心电生理杂志, 2018, 32(5): 431-433.
5. 郑钧正. 放射诊疗的蓬勃发展亟需强化医疗照射防护. 医学研究杂志, 2012, 41(10): 2-4.
6. Charles M. UNSCEAR report 2000: sources and effects of ionizing radiation. United Nations Scientific Comittee on the effects of atomic radiation. J Radiol Prot, 2001, 21(1): 83-86.
7. Le Coultre R, Bize J, Champendal M, et al. Exposure of the swiss population by radiodiagnostics: 2013 review. Radiat Prot Dosimetry, 2016, 169(1-4): 221-224.
8. 杨博鑫, 李言, 武王将, 等. 心血管介入手术辐射剂量影响因素的分析. 北京生物医学工程, 2019, 38(2): 171-176.
9. de Ruiter QM, Gijsberts CM, Hazenberg CE, et al. Radiation awareness for endovascular abdominal aortic aneurysm repair in the hybrid operating room. an instant patient risk chart for daily practice. J Endovasc Ther, 2017, 24(3): 425-434.
10. 朱纯生, 李锋. 急性冠状动脉综合征介入患者辐射剂量分析. 实用医学影像杂志, 2020, 21(1): 11-13.
11. 曾亚莉, 李红梅, 郑玉建, 等. 107例数字减影血管造影受检者所受辐射剂量分析. 中华放射医学与防护杂志, 2015, 35(6): 475-478.
12. 王建利. 先天性心脏病患儿介入治疗过程所受辐射剂量及其影响因素分析. 实用医学影像杂志, 2018, 19(6): 481-483.
13. 陆政德, 石磊, 覃绍明, 等. Micra无导线起搏器和传统起搏器的近期临床疗效比较. 中国心脏起搏与心电生理杂志, 2022, 36(1): 22-25.
14. 白剑, 蓝荣芳, 徐伟, 等. 无导线起搏器在起搏装置感染移除术后患者中的初步临床应用. 中华心律失常学杂志, 2021, 25(1): 56-60.
15. 梁静, 史冬梅, 赵迎新, 等. 无导线起搏器临床应用的初步探讨及随访结果分析. 心肺血管病杂志, 2020, 39(12): 1440-1443,1456.
16. 李巧元, 郭成军, 方冬平, 等. 心室无导线起搏器经胸3. 0T核磁共振检查的安全性研究. 中国心脏起搏与心电生理杂志, 2020, 34(3): 278-280.
17. 刘伟宾, 黄连军, 郭久芳, 等. 冠心病介入诊疗中透视与电影辐射剂量率对比分析. 介入放射学杂志, 2015, (6): 524-527.
18. GB16348-2010《医用X射线诊断受检者放射卫生防护标准》开始生效. 中国个体防护装备, 2011, (5): 28.

Previous Article
Changes in the disease burden of ischemic stroke in China from 1990 to 2019

Chinese Journal of Evidence-Based Medicine

A comparative study of X-ray projection doses during leadless pacemaker and conventional single chamber ventricular pacemaker implantation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content