Archives of cardiovascular diseases
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Arch Cardiovasc Dis · Mar 2018
Observational StudyReduction of radiation exposure in transcatheter atrial septal defect closure: How low must we go?
Cardiac catheterization relies on X-ray imaging. Most procedures are now standardized. Interventionists must strive to minimize radiation exposure to reduce the risk of induced cancers. ⋯ A low dose of radiation can be achieved for transcatheter ASD closure, even in complex ASDs, by following these recommendations: reduction of frame rate; avoidance of lateral view and cine acquisition; and limitation of fluoroscopic time by avoiding unnecessary manoeuvres and using echocardiographic guidance as much as possible.