Research summary, systematic review or meta-analysis, 2020

Comprehensive Literature Review of Radiation Levels During Endovascular Aortic Repair in Cathlabs and Operating Theatres

2020

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In plain language

In a review of published endovascular aneurysm repair (EVAR) studies, the reported dose-area product was lowest in hybrid rooms and highest with fixed systems. Teams that reported following as low as reasonably achievable (ALARA) tended to report lower doses. Complex repairs sometimes produced concerning doses for patients and staff.

At a glance

Type of study
Systematic review or meta-analysis, Systematic review
Who was studied
Vascular surgeons, Mixed lab staff, Patients
Summary based on
the abstract

What it found

  • Dose-area product during standard and complex EVAR was lowest in hybrid rooms and highest with fixed systems.

  • Studies where authors stated adherence to ALARA principles tended to report among the lowest doses.

  • Several studies, particularly of fenestrated/branched EVAR, reported concerning radiation levels for both patients and staff.

  • Modern imaging equipment, team engagement in radiation management, and fusion imaging help reduce dose; authors recommend investment in modern imaging technology.

Limits to keep in mind

Literature review of heterogeneous observational studies from MEDLINE and Cochrane only, English full text, with no quantitative pooling reported in the abstract. Dose-area product is mainly a patient dose metric, and staff dose data are summarized only qualitatively.

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 5, 2026.