TY - JOUR
T1 - 1451 IMPLEMENTATION OF A REDUCED FLUOROSCOPIC PROTOCOL DURING URETEROSCOPIC LITHOTRIPSY SIGNIFICANTLY REDUCES RADIATION EXPOSURE
AU - Greene, Daniel
AU - Bowman, Ryan
AU - Tenggardjaja, Christopher
AU - Ebrahimi, Kamyar
AU - Agarwal, Gautum
AU - Baldwin, Dalton D.
PY - 2010/4/1
Y1 - 2010/4/1
N2 - INTRODUCTION AND OBJECTIVES: Although the long-term effects of radiation exposure are not completely understood, the lowest possible radiation dose"As Low as Reasonably Achievable" (ALARA) should be used during medical imaging. The purpose of this study was to compare fluoroscopy times before and after the implementation of a protocol designed to reduce radiation exposure during ureteroscopic lithotripsy. METHOD(S): A retrospective review was conducted of 300 consecutive patients who underwent ureteroscopy at a single institution from November 2006 to September 2009. Patients undergoing simple ureteroscopy without ancillary procedures or balloon dilation were specifically studied to determine the effect of a reduced fluoroscopy protocol implemented in January of 2009. The protocol introduced many measures such as substitution of visual and tactile cues instead of fluoroscopic images while placing guidewires, ureteroscopes and stents. Other measures included a laser-guided C-arm, designated fluoroscopy technician and visualization of the bladder curve cystoscopically. Fluoroscopy times were compared between groups using a paired t-test with p
AB - INTRODUCTION AND OBJECTIVES: Although the long-term effects of radiation exposure are not completely understood, the lowest possible radiation dose"As Low as Reasonably Achievable" (ALARA) should be used during medical imaging. The purpose of this study was to compare fluoroscopy times before and after the implementation of a protocol designed to reduce radiation exposure during ureteroscopic lithotripsy. METHOD(S): A retrospective review was conducted of 300 consecutive patients who underwent ureteroscopy at a single institution from November 2006 to September 2009. Patients undergoing simple ureteroscopy without ancillary procedures or balloon dilation were specifically studied to determine the effect of a reduced fluoroscopy protocol implemented in January of 2009. The protocol introduced many measures such as substitution of visual and tactile cues instead of fluoroscopic images while placing guidewires, ureteroscopes and stents. Other measures included a laser-guided C-arm, designated fluoroscopy technician and visualization of the bladder curve cystoscopically. Fluoroscopy times were compared between groups using a paired t-test with p
UR - http://www.jurology.com/article/S0022-5347(10)01421-7/abstract
UR - https://www.mendeley.com/catalogue/9e44953b-c079-3e3a-a432-eb3b54697d49/
U2 - 10.1016/j.juro.2010.02.1165
DO - 10.1016/j.juro.2010.02.1165
M3 - Meeting abstract
VL - 183
JO - The Journal of Urology
JF - The Journal of Urology
IS - 4S
ER -