Catheterization and Cardiovascular Interventions
Volume 97, Issue 6 pp. 1207-1208
EDITORIAL COMMENT

Achieving radiation reduction by adapting to technology advances

Stephen Balter PhD, 

Corresponding Author

Stephen Balter PhD

Department of Radiology, Columbia University Medical Center, New York, New York, USA

Department of Medicine, Cardiology, Columbia University Medical Center, New York, New York, USA

Correspondence

Stephen Balter, PhD, Department of Radiology, Columbia University Medical Center, Heart Center 2, New York, NY 10021.

Email: [email protected]

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Jeffrey W. Moses MD, 

Jeffrey W. Moses MD

Department of Medicine, Cardiology, Columbia University Medical Center, New York, New York, USA

Department of Medicine, St Francis Heart Center, Roslyn, New York, USA

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First published: 11 May 2021
https://doi.org/10.1002/ccd.29735
Expert Article Analysis for: Modulated radiation protocol achieves marked reduction of radiation exposure for chronic total coronary occlusion intervention

Key Points

  • This study demonstrates that the combination of image processing enhancements along with meticulous attention by operators to radiation hygiene can lead to significant and clinically meaningful reductions in radiation exposure.
  • The results obtained from a single experienced chronic total occlusion (CTO) operator in two sequential time periods are a reasonable substitute for a randomized trial.
  • Radiation exposure to patients and operators remains a significant hazard of CTO procedures.
  • Avoiding excessive dosage removes a barrier to successful procedural completion.

CONFLICT OF INTEREST

The authors declare no conflicts of interest.

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