Research summary, original research, 2018

A retrospective study of radiation dose measurements comparing different cath lab X-ray systems in a sample population of patients undergoing percutaneous coronary intervention for chronic total occlusions

McNeice AH, Brooks M, Hanratty CG, Stevenson M, Spratt JC, Walsh SJ. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions. 2018

Read the original paper

In plain language

In 860 chronic total occlusion percutaneous coronary intervention (PCI) procedures, newer cath lab X-ray systems were associated with lower patient dose-area product after adjusting for fluoroscopy time and body mass index (BMI). Staff dose was not measured.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 860 procedures
Summary based on
the abstract

What it found

  • The X-ray system used had a significant effect on dose-area product (DAP) in chronic total occlusion (CTO) PCI after controlling for fluoroscopy time and BMI.

    Key figures: P ≤ 0.001

  • The most modern X-ray systems produced the lowest radiation doses.

  • CTO PCI involved long fluoroscopy times and high patient dose overall.

    Key figures: mean fluoroscopy time 40.00 ± 19.99 min; mean DAP 11,980 ± 7,947 cGycm2

Limits to keep in mind

Retrospective design with only three operators across three sites, and systems were confounded with hospital site and time period. Only patient DAP was measured; staff dose was not assessed, and the abstract gives no per-system effect sizes.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.