A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease

Rafael S.O. Giuberti, Adriano Caixeta, Antônio C. Carvalho, Milton M. Soares, Erlon O. Abreu-Silva, José O.MEDINA Pestana, Hélio T. Silva Júnior, MARIA Lúcia Vaz, Philippe Généreux, Rosley W.A. Fernandes

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Methods From November 2012 to February 2013, 201 patients were randomly assigned to either CCA (n = 100) or DARCA (n = 101). Exclusion criteria included acute coronary syndrome (ACS), prior PCI or CABG. CCAs were performed in 4 acquisition runs for the left coronary artery and 2 to 3 acquisition runs for the right coronary artery, whereas DARCAs were performed in a single run for each coronary artery.

Results Baseline demographics and clinical characteristics were similar for both groups. The overall prevalence of CAD was 77.6%. The DARCA group had a significant reduction in the amount of contrast, 60 ml (IQR: 52.5-71.5 ml) versus 76 ml (IQR: 68-87 ml), P lt; 0.0001; and radiation dose by Air Kerma, 269.5 mGy (IQR: 176-450.5) versus 542.1 mGy (IQR: 370.7-720.8), P lt; 0.0001. There were fewer patients requiring additional projections in the DARCA group: 54.0% versus 75.0%; P = 0.002.

Conclusions In a population with a high prevalence of CAD, DARCA was safe and resulted in a significant decrease in contrast volume and radiation dose. (J Interven Cardiol 2014;27:456-464)

Objectives To compare the safety, radiation dose, and contrast volume between dual axis rotational coronary angiography (DARCA) and conventional coronary angiography (CCA).

Background CCA is performed in multiple, predefined stationary views, at different angulations around the patient, for both the left and right coronary arteries. DARCA (AlluraXperSwing™, Philips, the Netherlands) involves a pre-set rotation of the C-arm around the patient and allows for the visualization of each coronary artery in different views, using a single automatic pump contrast injection.

Original languageEnglish (US)
Pages (from-to)456-464
Number of pages9
JournalJournal of Interventional Cardiology
Volume27
Issue number5
DOIs
StatePublished - Oct 1 2014

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Coronary Angiography
Coronary Artery Disease
Coronary Vessels
Population
Radiation
Acute Coronary Syndrome
Netherlands
Air
Demography
Safety
Injections

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Giuberti, R. S. O., Caixeta, A., Carvalho, A. C., Soares, M. M., Abreu-Silva, E. O., Pestana, J. O. MEDINA., ... Fernandes, R. W. A. (2014). A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease. Journal of Interventional Cardiology, 27(5), 456-464. https://doi.org/10.1111/joic.12148
Giuberti, Rafael S.O. ; Caixeta, Adriano ; Carvalho, Antônio C. ; Soares, Milton M. ; Abreu-Silva, Erlon O. ; Pestana, José O.MEDINA ; Silva Júnior, Hélio T. ; Vaz, MARIA Lúcia ; Généreux, Philippe ; Fernandes, Rosley W.A. / A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease. In: Journal of Interventional Cardiology. 2014 ; Vol. 27, No. 5. pp. 456-464.
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abstract = "Methods From November 2012 to February 2013, 201 patients were randomly assigned to either CCA (n = 100) or DARCA (n = 101). Exclusion criteria included acute coronary syndrome (ACS), prior PCI or CABG. CCAs were performed in 4 acquisition runs for the left coronary artery and 2 to 3 acquisition runs for the right coronary artery, whereas DARCAs were performed in a single run for each coronary artery.Results Baseline demographics and clinical characteristics were similar for both groups. The overall prevalence of CAD was 77.6{\%}. The DARCA group had a significant reduction in the amount of contrast, 60 ml (IQR: 52.5-71.5 ml) versus 76 ml (IQR: 68-87 ml), P lt; 0.0001; and radiation dose by Air Kerma, 269.5 mGy (IQR: 176-450.5) versus 542.1 mGy (IQR: 370.7-720.8), P lt; 0.0001. There were fewer patients requiring additional projections in the DARCA group: 54.0{\%} versus 75.0{\%}; P = 0.002.Conclusions In a population with a high prevalence of CAD, DARCA was safe and resulted in a significant decrease in contrast volume and radiation dose. (J Interven Cardiol 2014;27:456-464)Objectives To compare the safety, radiation dose, and contrast volume between dual axis rotational coronary angiography (DARCA) and conventional coronary angiography (CCA).Background CCA is performed in multiple, predefined stationary views, at different angulations around the patient, for both the left and right coronary arteries. DARCA (AlluraXperSwing™, Philips, the Netherlands) involves a pre-set rotation of the C-arm around the patient and allows for the visualization of each coronary artery in different views, using a single automatic pump contrast injection.",
author = "Giuberti, {Rafael S.O.} and Adriano Caixeta and Carvalho, {Ant{\^o}nio C.} and Soares, {Milton M.} and Abreu-Silva, {Erlon O.} and Pestana, {Jos{\'e} O.MEDINA} and {Silva J{\'u}nior}, {H{\'e}lio T.} and Vaz, {MARIA L{\'u}cia} and Philippe G{\'e}n{\'e}reux and Fernandes, {Rosley W.A.}",
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Giuberti, RSO, Caixeta, A, Carvalho, AC, Soares, MM, Abreu-Silva, EO, Pestana, JOMEDINA, Silva Júnior, HT, Vaz, MARIAL, Généreux, P & Fernandes, RWA 2014, 'A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease', Journal of Interventional Cardiology, vol. 27, no. 5, pp. 456-464. https://doi.org/10.1111/joic.12148

A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease. / Giuberti, Rafael S.O.; Caixeta, Adriano; Carvalho, Antônio C.; Soares, Milton M.; Abreu-Silva, Erlon O.; Pestana, José O.MEDINA; Silva Júnior, Hélio T.; Vaz, MARIA Lúcia; Généreux, Philippe; Fernandes, Rosley W.A.

In: Journal of Interventional Cardiology, Vol. 27, No. 5, 01.10.2014, p. 456-464.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A randomized trial comparing dual axis rotational versus conventional coronary angiography in a population with a high prevalence of coronary artery disease

AU - Giuberti, Rafael S.O.

AU - Caixeta, Adriano

AU - Carvalho, Antônio C.

AU - Soares, Milton M.

AU - Abreu-Silva, Erlon O.

AU - Pestana, José O.MEDINA

AU - Silva Júnior, Hélio T.

AU - Vaz, MARIA Lúcia

AU - Généreux, Philippe

AU - Fernandes, Rosley W.A.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Methods From November 2012 to February 2013, 201 patients were randomly assigned to either CCA (n = 100) or DARCA (n = 101). Exclusion criteria included acute coronary syndrome (ACS), prior PCI or CABG. CCAs were performed in 4 acquisition runs for the left coronary artery and 2 to 3 acquisition runs for the right coronary artery, whereas DARCAs were performed in a single run for each coronary artery.Results Baseline demographics and clinical characteristics were similar for both groups. The overall prevalence of CAD was 77.6%. The DARCA group had a significant reduction in the amount of contrast, 60 ml (IQR: 52.5-71.5 ml) versus 76 ml (IQR: 68-87 ml), P lt; 0.0001; and radiation dose by Air Kerma, 269.5 mGy (IQR: 176-450.5) versus 542.1 mGy (IQR: 370.7-720.8), P lt; 0.0001. There were fewer patients requiring additional projections in the DARCA group: 54.0% versus 75.0%; P = 0.002.Conclusions In a population with a high prevalence of CAD, DARCA was safe and resulted in a significant decrease in contrast volume and radiation dose. (J Interven Cardiol 2014;27:456-464)Objectives To compare the safety, radiation dose, and contrast volume between dual axis rotational coronary angiography (DARCA) and conventional coronary angiography (CCA).Background CCA is performed in multiple, predefined stationary views, at different angulations around the patient, for both the left and right coronary arteries. DARCA (AlluraXperSwing™, Philips, the Netherlands) involves a pre-set rotation of the C-arm around the patient and allows for the visualization of each coronary artery in different views, using a single automatic pump contrast injection.

AB - Methods From November 2012 to February 2013, 201 patients were randomly assigned to either CCA (n = 100) or DARCA (n = 101). Exclusion criteria included acute coronary syndrome (ACS), prior PCI or CABG. CCAs were performed in 4 acquisition runs for the left coronary artery and 2 to 3 acquisition runs for the right coronary artery, whereas DARCAs were performed in a single run for each coronary artery.Results Baseline demographics and clinical characteristics were similar for both groups. The overall prevalence of CAD was 77.6%. The DARCA group had a significant reduction in the amount of contrast, 60 ml (IQR: 52.5-71.5 ml) versus 76 ml (IQR: 68-87 ml), P lt; 0.0001; and radiation dose by Air Kerma, 269.5 mGy (IQR: 176-450.5) versus 542.1 mGy (IQR: 370.7-720.8), P lt; 0.0001. There were fewer patients requiring additional projections in the DARCA group: 54.0% versus 75.0%; P = 0.002.Conclusions In a population with a high prevalence of CAD, DARCA was safe and resulted in a significant decrease in contrast volume and radiation dose. (J Interven Cardiol 2014;27:456-464)Objectives To compare the safety, radiation dose, and contrast volume between dual axis rotational coronary angiography (DARCA) and conventional coronary angiography (CCA).Background CCA is performed in multiple, predefined stationary views, at different angulations around the patient, for both the left and right coronary arteries. DARCA (AlluraXperSwing™, Philips, the Netherlands) involves a pre-set rotation of the C-arm around the patient and allows for the visualization of each coronary artery in different views, using a single automatic pump contrast injection.

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DO - 10.1111/joic.12148

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