Research summary, original research, 2018

Implementation of a Low Frame-Rate Protocol and Noise-Reduction Technology to Minimize Radiation Dose in Transcatheter Aortic Valve Replacement

Maccagni D, Candilio L, Latib A, Godino C, Chieffo A, Montorfano M, et al.. The Journal of invasive cardiology. 2018

Read the original paper

In plain language

In transfemoral transcatheter aortic valve replacement (TAVR), a noise-reduction imaging system and a lower frame rate were each associated with substantially lower patient radiation dose indices. Staff dose was not measured, although lower patient dose usually means less scatter for the fluoroscopy team.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Summary based on
the abstract

What it found

  • The noise-reduction technology system was associated with roughly half the patient kerma-area product (KAP) and air kerma of the standard system in transfemoral TAVR.

    Key figures: KAP 153 Gy·cm² [interquartile range (IQR), 95-234] vs 78.3 Gy·cm² [IQR, 54.4-103.5]; P<.001; air kerma (AK) at IRP 1.454 Gy vs 0.620 Gy; P<.001

  • On the standard system, lowering the frame rate from 15 to 7.5 fps reduced patient KAP and air kerma.

    Key figures: KAP 184 Gy·cm² vs 106.8 Gy·cm² (P<.01); AK at IRP 0.973 Gy vs 0.64 Gy (P<.01)

  • The authors conclude that both the low frame-rate protocol and noise-reduction technology markedly reduce patient radiation exposure in TAVR.

Limits to keep in mind

Single-period observational comparison of patient dose indices only, with no staff dose measured. The abstract does not report the number of procedures, the country or adjustment for patient and procedural differences.

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.