2021-05-20T15:39:45 n7248

Comparison of patient and staff dose during femoral and radially accessed cardiac angiography

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To visualise the coronary arteries, a catheter is advanced through the aorta via either an artery in the arm (radial artery) or the common femoral artery in the groin.  Due to the reduced risk of post-procedure vascular complications, there has been a strong move towards radial access as the preferred option.

There have been conflicting reports of x-ray dose implications due to the choice of access point. This single centre, prospective, observational research investigates any potential disparities in patient radiation dose resulting from the radial or femoral approach.  Differences in dose levels measured at the left temple of the cardiologist, scrub nurse and scout nurse were also examined.

This dataset was produced as part of Kelly Wilson-Stewart's PhD, 'Factors which influence occupational radiation head and eye dose to in-room personnel during angiographic procedures'. 

Kelly's Ph.D. project aims to quantify the levels of temple dose to staff during diagnostic and interventional cardiac and endovascular procedures utilising fluoroscopy.  An additional focus will be placed on reporting on factors that may influence occupational dose levels to nurses and other in-room staff.

The following people were involved in the supervision of this project design and manuscript prepration:

Davide Fontanarosa:

  • School of Clinical Sciences, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia
  • Centre for Biomedical Technologies (CBT), Queensland University of Technology, Brisbane, QLD, 4000, Australia

Jamie V. Trapp:

  • School of Chemistry and Physics, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia

The following person was involved in statistical analysis, data curation and manuscript preparation:

Eva Malacova:

  • QMIR Berghofer Medical Research Institute, 200 Herston Road, Herston, QLD, 4006, Australia
  • Centre for Biomedical Technologies (CBT), Queensland University of Technology, Brisbane, QLD, 4000, Australia

The data owner would like to thank her nursing, radiography, and medical colleagues from the cardio-vascular suites at Greenslopes Private Hospital for their contributions towards data collection during this research. The data owner gratefully also acknowledges the support provided by the Australian Commonwealth Government in the form of a research stipend.

Access rights

The owner of this data retains copyright. You must give appropriate credit, provide a link to the license, and indicate if changes were made to the dataset. You may do so in any reasonable manner, but not in any way that suggest the licensor endorses you or your use. You may not use this data for commercial purposes.

Geographical area of data collection

kmlPolyCoords
153.028076,-27.467712

Publications

Wilson-Stewart, Kelly, Shanahan, Madeleine, Fontanarosa, Davide, & Davidson, Rob (2018) Occupational radiation exposure to nursing staff during cardiovascular fluoroscopic procedures: A review of the literature. Journal of Applied Clinical Medical Physics, pp. 282-297. https://eprints.qut.edu.au/122164/
Wilson-Stewart, Kelly, Hartel, Gunter, & Fontanarosa, Davide (2019) Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography: 在心脏血管造影过程中,擦洗护士的头部职业辐射水平高于心脏病专家. Journal of Advanced Nursing, pp. 2692-2700. https://eprints.qut.edu.au/129879/
Wilson-Stewart, Kelly (2017) Choose your own adventure in podiatry. Medical Education, 51(5), p. 539. https://eprints.qut.edu.au/103271/
Wilson-Stewart, Kelly, Fontanarosa, Davide, Li, Dan, Drovandi, Chris, Anderson, Rebecca, & Trapp, Jamie (2020) Taller staff occupationally exposed to less radiation to the temple in cardiac procedures, but risk higher doses during vascular cases. Scientific Reports, Article number: 16103. https://eprints.qut.edu.au/204713/
Wilson-Stewart, Kelly (2017) Survey of radiation protection utilization and accessibility within Australian cardiac angiography laboratories. Journal of Radiology Nursing, 36(2), 112-116.e1. https://eprints.qut.edu.au/108773/
Bridge, Peter, Gunn, Therese, Kastanis, Lazaros, Pack, Darren, Rowntree, Pamela, Starkey, Debbie, Mahoney, Gaynor, Berry, Clare, Braithwaite, Vicki, & Wilson-Stewart, Kelly (2014) The development and evaluation of a medical imaging training immersive environment. Journal of Medical Radiation Sciences, 61(3), pp. 159-165. https://eprints.qut.edu.au/76213/

Research areas

Eye dose
Other medical and health services
Angiography
Radiation
Vascular surgery
Clinical sciences
Fluoroscopy
Cardiology
Other physical sciences
Nursing
Occupational dose
Radiology and organ imaging
Scrub nurse
X-ray

Cite this collection

Wilson-Stewart, Kelly; Fontanarosa, Davide; Trapp, Jamie V; Malacova, Eva; (2021): Comparison of patient and staff dose during femoral and radially accessed cardiac angiography. Queensland University of Technology. (Dataset) https://doi.org/10.25912/RDF_1621487729833

Related information

3 Minute Thesis Entry (QUT 2020 runner up) https://www.youtube.com/watch?v=9Ak2ZtTXjg4

Partner institution

Greenslopes Private Hospital https://www.greenslopesprivate.com.au/

Licence


Creative Commons Attribution-NonCommercial-Share Alike 4.0 (CC-BY-NC-SA)
http://creativecommons.org/licenses/by-nc-sa/4.0/

Copyright

© Queensland University of Technology, 2021.

Dates of data collection

From 2017-02-01 to 2019-08-31

Connections

Has association with
Davide Fontanarosa  (Researcher)
Jamie Trapp  (Researcher)
Has chief investigator
Kelly Wilson-Stewart  (Researcher)

Contacts

Other

Date record created:
2021-05-20T14:45:51
Date record modified:
2021-05-20T15:39:45
Record status:
Published - Open Access