[Measurement of patient skin absorbed dose in ablation of paroxysmal atrial fibrillation and examination of treatment protocol].
The ablation for atrial fibrillation minute movement done in our hospital is 250 minutes or less, within an average time of 150 minutes during a fluoroscopic time of about 7 hours, with very large average inspection times numerical values. However, the skin-absorbed dose could be understood only from the numerical value of the area dosimeter. It was considered that the total dose that reached the threshold was sufficient, although radiation injury would not be reported from the ablation currently done at our hospital. Therefore, we aimed to examine the inspection protocol in this hospital, and to request the patient be given an inspection dose that was the average skin-absorbed dose by using the acryl board. The amount of a total dose for an inspection of 150 minutes of fluoroscopic time was about 2.7 Gy. Moreover, a value of 1.5 Gy was indicated in the hot spot as a result of repetition in some exposure fields. However, it was thought that the possibility of exceeding the threshold of 2 Gy depending on the inspection situation in the future and other factors was tolerable because these measurements were done so as not to overvalue it more than the necessary.
Shohji
Tomokazu
T
Department of Radiology, Tokyo Jikei University Hospital.
Hiramatsu
Masaki
M
Hasome
Hideki
H
D001281:Atrial Fibrillation / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D005471:Fluoroscopy; D006801:Humans; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000517:prevention & control; D011834:Radiation Monitoring / Q000295:instrumentation / Q000379:methods*; D015642:Radiology, Interventional; D012867:Skin / Q000528:radiation effects*; D013997:Time Factors