January 1, 2000Catheterization and Cardiovascular Interventions

Exposure to ionizing radiation in children undergoing amplatzer device placement to close atrial septal defects

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Why the study?

Does Amplatzer device occlusion increase ionizing radiation exposure compared to diagnostic catheterization in children?

Population

24 children, including 12 undergoing Amplatzer device occlusion of atrial septal defects or Fontan…

Comparison

Amplatzer device occlusion vs Diagnostic catheterization

Design

Cohort

Authors

DSDavid ShimBrown University TKThomas R. KimballPediatric Cardiology EMErik MichelfelderChildren's Healthcare of Atlanta

Discussion

Member takes

Implication

Comparable radiation doses with Amplatzer occlusion versus diagnostic catheterization; leaves open need for prospective validation in children.

Structured PICO

Does Amplatzer device occlusion increase ionizing radiation exposure compared to diagnostic catheterization in children?

Population

24 children, including 12 undergoing Amplatzer device occlusion of atrial septal defects (n=10) or Fontan fenestration (n=2) (median age 6.4 years) and 12 age-matched controls undergoing diagnostic catheterization (median age 7.9 years).

Intervention

Amplatzer device occlusion

Comparator

Diagnostic catheterization

Outcome

Surface entrance radiation dose measured by thermoluminescent dosimetry (TLD) at the posterior and right lateral chest wall, thyroid, and gonadal regionssafety

Fluoroscopy times and ionizing radiation exposure during Amplatzer device occlusion are comparable to routine diagnostic catheterization in children.

Cite This Study

Shim et al. (2000) studied this question.

synapsesocial.com/papers/6a9029efe02ba012352da051 https://doi.org/10.1002/1522-726x(200012)51:4<451::aid-ccd16>3.0.co;2-l

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Implication

Comparable radiation doses with Amplatzer occlusion versus diagnostic catheterization; leaves open need for prospective validation in children.

Exposure to ionizing radiation in children undergoing amplatzer device placement to close atrial septal defects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Exposure to ionizing radiation in children undergoing amplatzer device placement to close atrial septal defects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

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