Parámetros dosimétricos en cateterismos para cardiopatías congénitas en España: registro multicéntrico Radcong-21 del GTH-SECPCC

  1. Fernando Rueda Núñez 1
  2. C. Abelleira Pardeiro 2
  3. Beatriz Insa Albert 3
  4. María Alvarez Fuente 4
  5. Vanesa Balboa Barreiro 5
  6. Fernando Ballesteros Tejerizo 6
  7. Pedro Betrian Blasco 7
  8. J.F. Coserria Sánchez 8
  9. J. Espín López 9
  10. Luis Fernández González 10
  11. María Dolores Herrera 11
  12. Miguel Ángel Romero Moreno 12
  13. Fernando Sarnago Cebada 13
  14. Ricardo Sanz Ruiz 14
  15. Juan Ignacio Zabala Arguelles 15
  1. 1 Unidad de Cardiología Infantil, Servicio de Pediatría, Complexo Hospitalario Universitario de A Coruña, Servicio Gallego de Salud, A Coruña, España
  2. 2 Unidad de Hemodinámica, Servicio de Cardiología Infantil, Hospital Universitario La Paz, Madrid, España
  3. 3 Sección de Cardiología Infantil, Hospital Universitario y Politécnico La Fe, Valencia, España
  4. 4 Unidad de Hemodinámica, Servicio de Cardiología Infantil, Hospital Universitario Ramón y Cajal, Madrid, España
  5. 5 Unidad de Apoyo a la Investigación, Instituto de Investigación Biomédica de A Coruña, Complexo Hospitalario Universitario A Coruña, Servicio Gallego de Salud, Universidade da Coruña, A Coruña, España
  6. 6 Unidad de Hemodinámica, Servicio de Cardiología Infantil, Hospital General Universitario Gregorio Marañón, Madrid, España
  7. 7 Unidad de Hemodinámica Pediátrica, Servicio de Cardiología Pediátrica, Hospital Universitari Vall d’Hebron, Barcelona, España
  8. 8 Servicio de Cardiología Pediátrica, Hospital Universitario Virgen del Rocío, Sevilla, España
  9. 9 Sección de Cardiología Pediátrica, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España
  10. 10 Sección de Hemodinámica-Cardiología, Hospital Universitario de Cruces, Barakaldo, Bilbao, España
  11. 11 Instituto Pediátrico del Corazón, Hospital Universitario 12 de Octubre, Instituto de Investigación Sanitaria 12 de Octubre, Madrid, España
  12. 12 Servicio de Cardiología, Hospital Universitario Reina Sofía, Universidad de Córdoba, Instituto Maimónides de Investigación Biomédica de Córdoba, Córdoba, España
  13. 13 Unidad de Cardiopatías Congénitas del Adulto, Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, España
  14. 14 Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España
  15. 15 Sección de Cardiología Pediátrica, Hospital Regional Universitario de Málaga, Málaga, España
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Journal:
REC: Interventional Cardiology

ISSN: 2604-7276,  2604-7306

Year of publication: 2023

Volume: 5

Issue: 4

Pages: 254-262

Type: Article

DOI: 10.24875/RECIC.M23000372 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: REC: Interventional Cardiology

Abstract

Introduction and objectives: The results of the Radcong-21 Registry of the Spanish Society of Pediatric Cardiology and Congenital Heart Disease Working Group on Hemodynamics are described to analyze data, establish updated reference parameters, and compare them to other registries. Methods: Retrospective, cross-sectional, observational, multicenter registry of patients with congenital heart disease undergoing cardiac catheterization in 2021. Each cath lab sent the last 100 cases performed prior to January 2022. A descriptive analysis was conducted of anthropomorphic variables, procedural (grouped by type and radiation exposure categories [REC]) and technical characteristics, and dosimetric parameters with additional review of all values outside the 95%CI of the median. Results: A total of 1090 procedures performed in 11 cath lab of 10 hospital centers were analyzed. Age distribution: 22.8% < 1 year, 60.7% between 1-18 years, and 16.4% > 18 years. In dose area product (DAP)/Kg and DAP/Kg/fluoroscopy, the distribution was very similar regardless of the type of cath lab as is the case with most pediatric patients in terms of age, weight, and REC group. The DAP/Kg was higher in the REC I and III groups compared to other countries with registries and improvement programs in this area (78% and 8,3%, respectively). Conclusions: Representative data of dosimetric parameters by age and procedures in congenital cardiac catheterizations were obtained in Spain back in 2021. DAP/Kg is the parameter with the lowest dispersion in the sample. There is room for improvement compared to other countries with optimization programs in this area.

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