Overview of contemporary interventional fluoroscopy procedures.
Interventional fluoroscopy procedures are increasingly important in medical practice. As new procedures are introduced and validated, they tend to replace the equivalent surgical procedure. There is wide variation in patient dose, both among procedures and for a specific procedure. Stochastic risk is present, but interventional fluoroscopy procedures may also present deterministic risk. Radiation risk/benefit analyses are different for interventional fluoroscopy procedures than they are for diagnostic imaging procedures. The radiation risk component of an interventional fluoroscopy procedure is substantially less than the other procedural risks, and there is always clear and measurable benefit to the patient from a successful procedure. Optimizing patient dose will require both improvements in equipment technology and greater attention from regulators, accrediting bodies and medical organizations. Ensuring adequate operator training is essential.
Department of Radiology and Radiological Sciences, Uniformed Services University, Bethesda, MD 20814, USA. donald.miller@med.navy.mil
Donald L
DL
Miller
D001026:Coronary Artery Bypass / Q000706:statistics & numerical data; D005471:Fluoroscopy / Q000379:methods* / Q000639:trends; D006801:Humans; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control; D015641:Radiography, Interventional / Q000379:methods*; D018570:Risk Assessment; D014481:United States