Ghosn Youssef, Khdhir Mihran, Jabbour Yara, Dushfunian David, Kobeissi Iyad, Abbas Nada, Akkari Chantal, Kahwaji Eva-Maria, Muallem Nadim
Department of Diagnostic Radiology, American University of Beirut, Riad El-Solh, P.O.Box 11-0236, Beirut, 1107 2020, Lebanon.
Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, USA.
Emerg Radiol. 2024 Oct;31(5):641-652. doi: 10.1007/s10140-024-02262-w. Epub 2024 Jul 3.
To evaluate patient and procedure-related factors contributing to the radiation dose, cumulative fluoroscopy time (CFT), and procedural time (PT) of Arterial Embolization (AE) for suspected active bleeding.
Data on patients who underwent AE for suspected bleeding was retrospectively gathered between January 2019 and April 2022. Data collected included the dependent variables consisting of dose-area product (DAP), CFT, PT, and independent variables consisting of demographic, bleeding-specific, and procedure-specific parameters. All statistical computations were performed in SPSS statistics. The alpha value was set at 0.05.
Data from a total of 148 AE were collected with an average patient's age of 61.06 ± 21.57 years. Higher DAP was independently associated with male sex (p < 0.002), age ranges between 46 and 65 years (p = 0.019) and > 66 years (p = 0.027), BMI above 30 (p = 0.016), attending with less than 10 years of experience (p = 0.01), and bleeding in the abdomen and pelvis (p = 0.027). Longer CFT was independently associated with attending with less than 10 years of experience (p < 0.001), having 2 (p = 0.004) or > 3 (p = 0.005) foci of bleed, and age between 46 and 65 years (p = 0.007) and ≥ 66 years (p = 0.017). Longer PT was independently associated with attending with less than 10 years of experience (p < 0.001) and having 2 (p = 0.014) or > 3 (p = 0.005) foci of bleed.
The interventionist experience influenced radiation dose, CFT and PT. Dose was also affected by patients' sex, age, BMI, as well as bleeding location. CFT was also affected by patients' age, and both CFT and PT were also affected by the number of bleeding foci. These findings highlight the multifaceted factors that affect radiation dose and procedural time, emphasizing the importance of interventionist expertise, patient's age, sex, BMI, location and number of bleeds.
评估与疑似活动性出血的动脉栓塞术（AE）的辐射剂量、累积透视时间（CFT）和手术时间（PT）相关的患者及手术因素。
回顾性收集2019年1月至2022年4月期间因疑似出血接受AE治疗的患者数据。收集的数据包括作为因变量的剂量面积乘积（DAP）、CFT、PT，以及作为自变量的人口统计学、出血特异性和手术特异性参数。所有统计计算均在SPSS统计软件中进行。α值设定为0.05。
共收集了148例AE的数据，患者平均年龄为61.06±21.57岁。较高的DAP与男性（p<0.002）、年龄在46至65岁之间（p=0.019）和>66岁（p=0.027）、BMI高于30（p=0.016）、从业经验少于10年（p=0.01）以及腹部和骨盆出血（p=0.027）独立相关。较长的CFT与从业经验少于10年（p<0.001）、有2个（p=0.004）或>3个（p=0.005）出血灶以及年龄在46至65岁之间（p=0.007）和≥66岁（p=0.017）独立相关。较长的PT与从业经验少于10年（p<0.001）以及有2个（p=0.014）或>3个（p=0.005）出血灶独立相关。
介入医生的经验会影响辐射剂量、CFT和PT。剂量还受患者的性别、年龄、BMI以及出血部位影响。CFT也受患者年龄影响，CFT和PT均受出血灶数量影响。这些发现突出了影响辐射剂量和手术时间的多方面因素，强调了介入医生专业知识、患者年龄、性别、BMI、出血部位和数量的重要性。
