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Radiation exposure, and procedure and fluoroscopy times in endovascular treatment of intracranial aneurysms: a methodological comparison

Cheung, NK, Boutchard, M, Carr, MW and Froelich, JJ 2018 , 'Radiation exposure, and procedure and fluoroscopy times in endovascular treatment of intracranial aneurysms: a methodological comparison' , Journal of NeuroInterventional Surgery , pp. 1-6 , doi: 10.1136/neurintsurg-2017-013596.

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Abstract

Background: Limited data are available for radiation exposure, and procedure and fluoroscopy times in neuroendovascular treatment (NET) strategies.Objective: This study establishes and compares related parameters between coil embolization (COIL), balloon assisted coil embolization (BAC), stent assisted coil embolization (SAC), and flow diverting technology (FDT) in NET of intracranial aneurysms.Materials and Methods: Between 2010 and 2017, 249 consecutive intracranial aneurysms underwent NET at a single center, all performed by the same operator. Dose area products (DAP), and procedure and fluoroscopy times were recorded and compared between COIL, BAC, SAC, and FDT techniques. Differences in parameters between cohorts were analyzed for significance using the Mann-Whitney U test, unpaired t test and χ2test. Additional subgroup analysis was performed for emergency and elective cases.Results: 83 aneurysms were treated with COIL (33%), 72 with BAC (29%), 61 with SAC (25%), and 33 with FDT (13%). Baseline characteristics were largely similar within these groups (P>0.05). Among COIL, BAC, and FDT cohorts, no significant difference was found for mean DAP, or procedure and fluoroscopy times (P>0.05). However, compared with all other cohorts, SAC was associated with a significantly higher DAP and longer procedure and fluoroscopy times (PConclusion: Compared with other NET strategies, SAC was associated with a significantly higher DAP, and longer procedure and fluoroscopy times. This study provides an initial dataset regarding radiation exposure, and procedure and fluoroscopy times for common NET, and may assist ALARA (As Low As Reasonably Achievable) principles to reduce radiation risks.

Item Type: Article
Authors/Creators:Cheung, NK and Boutchard, M and Carr, MW and Froelich, JJ
Keywords: aneurysm, coil, flow diverter, stent
Journal or Publication Title: Journal of NeuroInterventional Surgery
Publisher: BMJ Group
ISSN: 1759-8478
DOI / ID Number: 10.1136/neurintsurg-2017-013596
Copyright Information:

Copyright 2018 BMJ

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