• Radiation Safety in Chronic To...

Treffer: Radiation Safety in Chronic Total Occlusion Percutaneous Coronary Intervention.

Title:
Radiation Safety in Chronic Total Occlusion Percutaneous Coronary Intervention.
Authors:
Devkota L; Department of Internal Medicine, New York University Grossman School of Medicine, New York, NY 10016, USA. Electronic address: https://twitter.com/LornaDevkota., Razzouk L; Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, 10016, USA. Electronic address: https://twitter.com/Louairazzouk., Rao SV; Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, 10016, USA. Electronic address: Sunil.rao@nyulangone.org.
Source:
Interventional cardiology clinics [Interv Cardiol Clin] 2026 Jan; Vol. 15 (1), pp. 31-44. Date of Electronic Publication: 2025 Oct 28.
Publication Type:
Journal Article; Review
Language:
English
Journal Info:
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101615153 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2211-7466 (Electronic) Linking ISSN: 22117458 NLM ISO Abbreviation: Interv Cardiol Clin Subsets: MEDLINE
Imprint Name(s):
Original Publication: Amsterdam : Elsevier
MeSH Terms:
Percutaneous Coronary Intervention*/methods , Percutaneous Coronary Intervention*/adverse effects , Coronary Occlusion*/surgery , Coronary Occlusion*/diagnostic imaging , Radiation Protection*/methods , Radiation Exposure*/prevention & control , Radiation Exposure*/adverse effects , Radiography, Interventional*/methods , Radiography, Interventional*/adverse effects , Radiation Injuries*/prevention & control , Occupational Exposure*/prevention & control, Humans ; Chronic Disease ; Radiation Dosage ; Patient Safety
Contributed Indexing:
Keywords: ALARA principle; Chronic total occlusion (CTO); Dose reduction techniques; Fluoroscopy time; Occupational radiation exposure; Operator protection; Percutaneous coronary intervention (PCI); Radiation safety
Entry Date(s):
Date Created: 20251123 Date Completed: 20251123 Latest Revision: 20251123
Update Code:
20251124
DOI:
10.1016/j.iccl.2025.09.004
PMID:
41276395
Database:
MEDLINE

Weitere Informationen

Chronic total occlusion percutaneous coronary intervention (CTO-PCI) is a complex, high-radiation procedure that requires careful radiation management to protect both patients and health care providers. This review outlines the biological risks of radiation exposure, differentiating deterministic and stochastic effects, and highlights key safety thresholds and regulatory guidelines. It presents a range of mitigation strategies across procedural phases, including advanced shielding systems, low-dose imaging platforms, and real-time monitoring tools. Institutional protocols and a culture of shared accountability are emphasized to support the ALARA principle. Emerging technologies offer promising solutions to reduce operator exposure and improve safety outcomes in modern CTO-PCI practice.
(Copyright © 2025 Elsevier Inc. All rights reserved.)

Disclosure None.