Implantation of CRT pacemaker during pregnancy: estimated fetal radiation dose-Reference-Cited by-同舟云学术

Implantation of CRT pacemaker during pregnancy: estimated fetal radiation dose

Published:2024-08-31 Issue: Volume: Page:
ISSN:0144-8420
Container-title:Radiation Protection Dosimetry
language:en
Short-container-title:

Author:

Manninen Anna-Leena¹^ORCID,Järvinen Jukka²³⁴^ORCID,Sierpowska Joanna⁵,Mäkelä Timo J⁶,Rissanen Tuomas T⁷

Affiliation:

1. Oulu University Hospital Department of Diagnostic Radiology, , PO Box 10, FI-90029 Oulu, Finland

2. Turku University Hospital Turku Heart Center, Department of Cardiology, , PO Box 52, 20521 Turku, Finland

3. Turku University Hospital Medical Imaging Centre of Southwest Finland, Department of Radiology, , PO Box 52, 20521 Turku, Finland

4. Turku University Hospital Department of Medical Physics, , PO Box 52, 20521 Turku, Finland

5. Central Hospital of North Karelia Department of Radiology, , FI-80210 Joensuu, Finland

6. Oulu University Hospital, Pohde OYS Heart Center, , PO Box 10, FI-90029 Oulu, Finland

7. Central Hospital of North Karelia, Siunsote Heart Center, , FI-80210 Joensuu, Finland

Abstract

Abstract The benefits of a cardiac resynchronization therapy (CRT) implantation are known in severe heart failure and its implantation may also be considered during pregnancy to ensure safe pregnancy and delivery for both the mother and the fetus. This study on a patient case aimed to estimate the absorbed dose (AD) to the fetus during the CRT implantation of 21st week of the pregnant woman. AD measurement was done using anthropomorphic phantom, radiophotoluminescence dosemeters and Monte Carlo simulation utilizing kerma area product (KAP) of the procedures. The measured AD for a phantom’s uterus and heart was 0.116 and 14.7 mGy with total KAP of 27.9 Gycm2. The estimated actual AD to the fetus and the mother’s heart was 0.004 and 1.2 mGy, with total KAP of 1.5 Gycm2. The dose to the fetus can be minimized with the optimized procedure.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/rpd/advance-article-pdf/doi/10.1093/rpd/ncae182/58982252/ncae182.pdf

Reference24 articles.

1. Pregnancy with an artificial pacemaker;Jaffe;Obstet Gynecol Surv,1987

2. Successful pregnancy outcome with cardiac pacemaker after complete heart block;Sharma;Int J Gynaecol Obstet,2000

3. Cardiac outcome of pregnancy in women with a pacemaker and women with untreated atrioventricular conduction block;Thaman;Europace,2011

4. ESC guidelines on cardiac pacing and cardiac resynchronization therapy;Brignole;Eur Heart J,2013

5. ESC guidelines on the management of cardiovascular diseases during pregnancy;Regitz-Zagrosek;Eur Heart J,2011