Daniel E. Kendrick, MD, Claire P. Miller, MS, Pamela A

Slides:



Advertisements
Similar presentations
Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:
Advertisements

I may not be Southern by birth, but I am proud to be an American: The role of international medical graduates in vascular surgery and the Southern Association.
The impact of renal insufficiency on the outcome of carotid surgery is influenced by the definition used  Benjamin Kretz, MD, Nicolas Abello, PhD, Roger.
Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair  Kourosh Keyhani, DO, Charles C. Miller,
Without prejudice Journal of Vascular Surgery
Comparison of vein valve function following pharmacomechanical thrombolysis versus simple catheter-directed thrombolysis for iliofemoral deep vein thrombosis 
Jordan Knepper, MD, Enrique Criado, MD  Journal of Vascular Surgery 
Endovascular therapy for acute limb ischemia
Endovascular aneurysm repair simulation can lead to decreased fluoroscopy time and accurately delineate the proximal seal zone  Ann H. Kim, MD, Daniel.
Robert J. Beaulieu, MD, K. Dean Arnaoutakis, MD, Christopher J
Patterns of procedure-specific radiation exposure in the endovascular era: Impetus for further innovation  Mohsen Bannazadeh, MD, Ozcan Altinel, MD, Vikram.
Society for Vascular Surgery® (SVS)—The beginning
Vascular access in hemodialysis patients older than 80 years
Ali F. AbuRahma, MD, J. David Hayes, MD, Sarah K
Estimating the risk of solid organ malignancy in patients undergoing routine computed tomography scans after endovascular aneurysm repair  Raghu Motaganahalli,
Late graft explants in endovascular aneurysm repair
PC106. Characterizing Tissue Perfusion Following Lower Extremity Intervention Using 2D Color-Coded Digital Subtraction Angiography  Ann H. Kim, MD, Andrew.
Open bypass and endovascular procedures among diabetic foot ulcer cases in the United States from 2001 to 2010  Grant H. Skrepnek, PhD, David G. Armstrong,
C-reactive protein (CRP) elevation in patients with abdominal aortic aneurysm is independent of the most important CRP genetic polymorphism  Stephen A.
Breakthrough: Arthur Blakemore and Arthur Voorhees, Jr
Adjunctive use of the superficial femoral vein for vascular reconstructions  Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,
Micah E. Girotti, MD, Clifford Y. Ko, MD, MS, MSHS, Justin B
Mohamed A. Zayed, MD, PhD, Ronald L. Dalman, MD, Jason T. Lee, MD 
Mesenteric venous thrombosis with transmural intestinal infarction: A population-based study  Stefan Acosta, MD, PhD, Mats Ögren, MD, PhD, Nils-Herman.
Louis L. Nguyen, MD, MBA, MPH  Journal of Vascular Surgery 
Analysis of motor and somatosensory evoked potentials during thoracic and thoracoabdominal aortic aneurysm repair  Kourosh Keyhani, DO, Charles C. Miller,
Long-term safety of cilostazol in patients with peripheral artery disease: The CASTLE study (Cilostazol: A Study in Long-term Effects)  William R. Hiatt,
High prevalence of abdominal aortic aneurysms in brothers and sisters of patients despite a low prevalence in the population  Anneli Linné, MD, David.
The first operation on the profunda femoris artery
Jack L. Cronenwett, MD, Christos D. Liapis, MD 
Lowell S. Kabnick, MD  Journal of Vascular Surgery 
Ahmed Kayssi, MD, MSc, MPH, Charles de Mestral, MD CM, PhD, Thomas L
Without prejudice Journal of Vascular Surgery
Malcolm O. Perry, MD, Richard Kempczinski, MD 
Factors affecting radiation injury
Gary R. Seabrook, MD  Journal of Vascular Surgery 
Depression is associated with worse patency and recurrent leg symptoms after lower extremity revascularization  Gregory S. Cherr, MD, Jiping Wang, MD,
Infected aneurysm of the thoracic aorta
The best of times, the worst of times…
Radiation physics Journal of Vascular Surgery
A comparison of patency and interventions in thigh versus Hemodialysis Reliable Outflow grafts for chronic hemodialysis vascular access  Evan R. Brownie,
Surgeon radiation dose during complex endovascular procedures
The future of vascular surgery
Interviews with pioneers of vascular surgery
Analysis of 30-day readmission after aortoiliac and infrainguinal revascularization using the American College of Surgeons National Surgical Quality Improvement.
Peter Neglén, MD, PhD, Kathryn C. Hollis, BA, Seshadri Raju, MD 
Population-based analysis of inpatient vascular procedures and predicting future workload and implications for training  Jeffrey Jim, MD, Pamela L. Owens,
Radiation-induced skin injury after complex endovascular procedures
Reply Journal of Vascular Surgery
Reviewer Acknowledgment
Thrombotic mesenteric ischemia due to aortic dissection
David L. Dawson, MD, Jennifer Meyer, RCIS, Eugene S
Contemporary outcomes of vertebral artery injury
Calvin B. Ernst, MD  Journal of Vascular Surgery 
Regarding “Lunar cycles and abdominal aortic aneurysm rupture”
Endovascular repair of an acute blunt popliteal artery injury
Prevention of radiation injury from medical imaging
Long-term prognostic factors after thrombolysis for lower limb ischemia  Monica Kuoppala, MD, Sofia Franzén, MD, Bengt Lindblad, MD, PhD, Stefan Acosta,
Gregory C. Schmieder, MD, Megan Carroll, BA, BS, Jean M. Panneton, MD 
The LargPAD Trial: Phase IIA evaluation of l-arginine infusion in patients with peripheral arterial disease  Vikram S. Kashyap, MD, Ryan O. Lakin, MD,
The use of dextran and carbon dioxide for optical coherence tomography in the superficial femoral artery  Matthew T. Allemang, MD, Ryan O. Lakin, MD,
Matthew T. Allemang, Benjamin A. Eslahpazir, Ryan O. Lakin, Henry R
A pilot, prospective evaluation of a direct thrombin inhibitor, bivalirudin (Angiomax), in patients undergoing lower extremity bypass  Vikram S. Kashyap,
Bhagwan Satiani, MD, MBA, Thomas E. Williams, MD, PhD, Michael R
True Radial Artery Aneurysm: Diagnosis and Treatment
James A. DeWeese, MD  Journal of Vascular Surgery 
Fibromuscular dysplasia with multiple visceral artery involvement
J. David Neel, MD, Robin L. Kruse, PhD, Viktor Y
Results of a single center vascular screening and education program
Matthew Thompson, MD, Peter Holt, PhD, Ian Loftus, MD, Thomas L
Presentation transcript:

Comparative occupational radiation exposure between fixed and mobile imaging systems  Daniel E. Kendrick, MD, Claire P. Miller, MS, Pamela A. Moorehead, MS, Ann H. Kim, MD, Henry R. Baele, MD, Virginia L. Wong, MD, David W. Jordan, PhD, Vikram S. Kashyap, MD  Journal of Vascular Surgery  Volume 63, Issue 1, Pages 190-197 (January 2016) DOI: 10.1016/j.jvs.2015.08.062 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Reference radiation comparisons between mobile (MI) and fixed imaging (FI) systems. A, Mean air kerma (Kar) for all cases. B, Mean room dose for all cases. ∗Denotes a P value < .05. Journal of Vascular Surgery 2016 63, 190-197DOI: (10.1016/j.jvs.2015.08.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Staff radiation exposure compared according to role and imaging. Mean exposure for primary surgeon (0.088 ± 0.017 mSv vs 0.034 ± 0.010 mSv), assistant (0.083 ± 0.015 mSv vs 0.024 ± 0.007 mSv), other (0.006 ± 0.002 mSv vs 0.009 ± 0.002 mSv). ∗Denotes a P value < .05. OR, Operating room. Journal of Vascular Surgery 2016 63, 190-197DOI: (10.1016/j.jvs.2015.08.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Mobile (MI) and fixed imaging (FI) dose comparison according to case complexity. Each quartile (Q1-Q4) showed a higher dose (mSv) in FI compared with MI. Data in mSv ± standard error of the mean (SEM), MI, then FI respectively: Q1 (0.024 ± 0.006 vs 0.22 ± 0.028); Q2 (0.082 ± 0.006 vs 0.55 ± .047); Q3 (0.16 ± 0.027 vs 0.79 ± 0.066); Q4 (0.42 ± 0.071 vs 1.50 ± 0.19). ∗Denotes a P value < .05. Journal of Vascular Surgery 2016 63, 190-197DOI: (10.1016/j.jvs.2015.08.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Staff radiation exposure compared by “step back” positioning in fixed imaging (FI) room. Data in mSv ± standard error of the mean (SEM), <50% then >50%, respectively. Mean exposure for surgeon (0.122 ± 0.018 vs 0.044 ± 0.009); mean exposure for fellow (0.1004 ± 0.021 vs 0.070 ± 0.027). ∗Denotes a P value < .05. OR, Operating room. Journal of Vascular Surgery 2016 63, 190-197DOI: (10.1016/j.jvs.2015.08.062) Copyright © 2016 Society for Vascular Surgery Terms and Conditions