The appropriate and justified use of medical radiation in cardiovascular imaging: a position document of the ESC Associations of Cardiovascular Imaging, Percutaneous Cardiovascular Interventions and Electrophysiology
Eugenio Picano,Eliseo Vano,Eliseo Vano,Madan M. Rehani,Alberto Cuocolo,Lluís Mont,Vicente Bodi,Olivier Bar,Carlo Maccia,Luc Pierard,Rosa Sicari,Sven Plein,Heiko Mahrholdt,Patrizio Lancellotti,Juhani Knuuti,Hein Heidbuchel,Carlo Di Mario,Luigi P. Badano +17 more
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A European perspective on the best way to play an active role in implementing into clinical practice the key principle of radiation protection that: 'each patient should get the right imaging exam, at the right time, with the right radiation dose'.Abstract:
The benefits of cardiac imaging are immense, and modern medicine requires the extensive and versatile use of a variety of cardiac imaging techniques. Cardiologists are responsible for a large part of the radiation exposures every person gets per year from all medical sources. Therefore, they have a particular responsibility to avoid unjustified and non-optimized use of radiation, but sometimes are imperfectly aware of the radiological dose of the examination they prescribe or practice. This position paper aims to summarize the current knowledge on radiation effective doses (and risks) related to cardiac imaging procedures. We have reviewed the literature on radiation doses, which can range from the equivalent of 1-60 milliSievert (mSv) around a reference dose average of 15 mSv (corresponding to 750 chest X-rays) for a percutaneous coronary intervention, a cardiac radiofrequency ablation, a multidetector coronary angiography, or a myocardial perfusion imaging scintigraphy. We provide a European perspective on the best way to play an active role in implementing into clinical practice the key principle of radiation protection that: 'each patient should get the right imaging exam, at the right time, with the right radiation dose'.read more
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Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.
Anders Wanhainen,Fabio Verzini,Isabelle Van Herzeele,Eric Allaire,Matthew J. Bown,Tina Cohnert,Florian Dick,Joost A. van Herwaarden,Christos D. Karkos,Mark J.W. Koelemay,Tilo Kölbel,Ian M. Loftus,Kevin Mani,Germano Melissano,Janet T. Powell,Zoltán Szeberin,Gert J. de Borst,Nabil Chakfe,Sebastian Debus,Robert J. Hinchliffe,Stavros K. Kakkos,Igor Koncar,Philippe Kolh,Jes S. Lindholt,Melina de Vega,Frank Vermassen,Martin Björck,Stephen W.K. Cheng,Ronald L. Dalman,Lazar Davidovic,Konstantinos P. Donas,J.J. Earnshaw,Hans-Henning Eckstein,Jonathan Golledge,Stéphan Haulon,Tara M. Mastracci,Ross Naylor,Jean-Baptiste Ricco,Hence J.M. Verhagen +38 more
TL;DR: Editor's Choice – European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.
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Multimodality imaging of diseases of the thoracic aorta in adults: From the American society of echocardiography and the european association of cardiovascular imaging: Endorsed by the society of cardiovascular computed tomography and society for cardiovascular magnetic resonance
Steven A. Goldstein,Arturo Evangelista,Suhny Abbara,Andrew E. Arai,Federico M. Asch,Luigi P. Badano,Michael A. Bolen,Heidi M. Connolly,Hug Cuellar-Calabria,Martin Czerny,Richard B. Devereux,Raimund Erbel,Rossella Fattori,Eric M. Isselbacher,Joseph M. Lindsay,Marti L. McCulloch,Hector I. Michelena,Christoph A. Nienaber,Jae K. Oh,Mauro Pepi,Allen J. Taylor,Jonathan W. Weinsaft,José Luis Zamorano,Harry C. Dietz,Kim A. Eagle,John A. Elefteriades,Guillaume Jondeau,Hervé Rousseau,Marc A.A.M. Schepens +28 more
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Recommendations for the imaging assessment of prosthetic heart valves: A report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging
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TL;DR: The present document provides recommendations for the use of multimodality imaging in the assessment of PHVs.
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2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.
Edmond M. Cronin,Frank Bogun,Philippe Maury,Petr Peichl,Minglong Chen,Narayanan Namboodiri,Aguinaga L,Leite Lr,Sana M. Al-Khatib,Elad Anter,Antonio Berruezo,David J. Callans,M. Chung,Phillip S. Cuculich,Andre d'Avila,Barbara J. Deal,Della Bella P,Thomas Deneke,Timm Dickfeld,Hadid C,Haris M. Haqqani,George Neal Kay,Rakesh Latchamsetty,Francis E. Marchlinski,John M. Miller,Akihiko Nogami,Akash R. Patel,Rajeev Kumar Pathak,Sáenz Morales Lc,Pasquale Santangeli,John L. Sapp,Andrea Sarkozy,Kyoko Soejima,William G. Stevenson,Usha B. Tedrow,Wendy S. Tzou,Niraj Varma,Katja Zeppenfeld +37 more
TL;DR: This document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.
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Detection of significant coronary artery disease by noninvasive anatomical and functional imaging.
Danilo Neglia,Daniele Rovai,Chiara Caselli,Mikko Pietilä,Anna Teresinska,Santiago Aguadé-Bruix,María Nazarena Pizzi,Giancarlo Todiere,Alessia Gimelli,Stephen Schroeder,Tanja Drosch,Rosa Poddighe,Giancarlo Casolo,Constantinos Anagnostopoulos,Francesca Pugliese,François Rouzet,Dominique Le Guludec,Francesco Cappelli,Serafina Valente,Gian Franco Gensini,Camilla Zawaideh,Selene Capitanio,Gianmario Sambuceti,Fabio Marsico,Pasquale Perrone Filardi,Covadonga Fernández-Golfín,Luis M. Rincón,Frank P. Graner,Michiel A. de Graaf,Michael Fiechter,Julia Stehli,Oliver Gaemperli,Eliana Reyes,Sandy Nkomo,Maija Mäki,Valentina Lorenzoni,Giuseppe Turchetti,Clara Carpeggiani,Martina Marinelli,Stefano Puzzuoli,Maurizio Mangione,P. Marcheschi,Fabio Mariani,Daniela Giannessi,Stephan Nekolla,Massimo Lombardi,Rosa Sicari,Arthur J.H.A. Scholte,José Luis Zamorano,Philipp A. Kaufmann,S. Richard Underwood,Juhani Knuuti +51 more
TL;DR: In a multicenter European population of patients with stable chest pain and low prevalence of CAD, coronary computed tomographic angiography is more accurate than noninvasive functional testing for detecting significant CAD defined invasively.
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