{"id":5340,"date":"2025-12-12T14:24:59","date_gmt":"2025-12-12T12:24:59","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5340"},"modified":"2026-05-05T16:00:43","modified_gmt":"2026-05-05T14:00:43","slug":"cvja-2025-111","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-111\/","title":{"rendered":"Percutaneous coronary intervention of saphenous vein grafts is associated with increased radiation exposure in patients with non-ST-elevation myocardial infarction"},"content":{"rendered":"
\r\n
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\r\n \r\n \r\n\u00c7a\u011f\u0131n Mustafa \u00dcreyen, Kahraman Co\u015fansu, Mustafa G\u00f6khan Vural, Sabiye Yilmaz, Sait Emir \u015eahin, Cihat Aksoy\r\n<\/div> \r\n<\/div> \r\n
\r\n Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n of Cardiovascular Journal of Africa.<\/div>\r\n
<\/div> \r\n
\r\n
\r\n Abstract \r\n <\/div> \r\n \r\n
\r\n \r\n \r\n \r\n \r\n\r\n Objective:<\/strong> \r\n \r\nThe study aimed to evaluate radiation exposure during percutaneous coronary intervention (PCI) based on the culprit coronary artery in non-ST-elevation myocardial infarction (NSTEMI) patients.
\r\n\r\n Methods:<\/strong> \r\n \r\nA total of 504 NSTEMI patients were categorised into four groups according to the affected artery: left anterior descending, right coronary, circumflex, or saphenous vein graft (SVG). Radiation parameters, including dose area product (DAP), reference air kerma (RAK), number of exposures (NoE), and fluoroscopy time (FT), were analysed.\r\n
\r\n \r\n Results:<\/strong> \r\nSignificant differences were observed in DAP, NOE, and FT among the groups (p = 0.009, p < 0.001, p = 0.001, respectively), with no significant variation in RAK (p=0.242). Group IV (PCI of SVG) showed higher values in DAP, NOE, and FT compared to other groups.\r\n
\r\n \r\n \r\n Conclusion:<\/strong> \r\n \r\nPCI of SVGs in NSTEMI patients moderately increases radiation exposure compared to PCI of native coronary arteries, whereas PCI of native coronary arteries does not significantly elevate radiation exposure risk in this patient population.\r\n
\r\n \r\n\r\n \r\n <\/div> \r\n <\/div> \r\n \r\n \r\n
\r\n \r\n Keywords:<\/strong> \r\n \r\n non-ST-elevation myocardial infarction, percutaneous coronary interventions, radiation exposure, saphenous vein graft<\/strong> \r\n \r\n <\/div> \r\n \r\n
\r\n \r\n Submitted:<\/strong> July 19, 2025; \r\n Accepted:<\/strong> September 12, 2025; \r\n Published:<\/strong> December 12, 2025
\r\n Cardiovasc J Afr 2025; 36<\/b>: 642-646<\/em>\r\n
Volume 36, Issue 4<\/strong>
\r\n <\/div> \r\n \r\n
\r\n DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-111 \r\n <\/div> \r\n \r\n
\r\n\r\nAntalya Education And Research Hospital, Department of Cardiology, University of Health Sciences, Antalya, Turkey \r\n<\/strong>
\r\n\u00c7a\u011f\u0131n Mustafa \u00dcreyen\r\n\r\n

\r\n\r\nTurkiye Hospital, Department of Cardiology, \u0130stanbul, Turkey\r\n<\/strong>
\r\nKahraman Co\u015fansu\r\n\r\n

\r\n\r\nAnkara Education And Research Hospital, Department of Cardiology, University of Health Sciences, Ankara, Turkey \r\n<\/strong>
\r\nMustafa G\u00f6khan Vural\r\n\r\n

\r\n\r\nKocaeli City Hospital, Department of Cardiology, University of Health Sciences, Kocaeli, Turkey \r\n<\/strong>
\r\nSabiye Yilmaz\r\n\r\n

\r\n\r\nAntalya Education And Research Hospital, Department of Internal Medicine, University of Health Sciences, Antalya, Turkey\r\n<\/strong>
\r\nSait Emir \u015eahin\r\n\r\n

\r\n\r\n\u00d6zel Akdeniz \u015eifa Hospital, Department of Radiology, Antalya, Turkey\r\n<\/strong>
\r\nCihat Aksoy\r\n\r\n

\r\n \r\n\r\n [soshsc hide=\"logged\"]\r\n You need to be logged in to view and download<\/a> the full text PDF version. Register for a free account?<\/a><\/strong>

[\/soshsc]\r\n \r\n \r\n \r\n <\/div>\r\n \r\n<\/div>","protected":false},"excerpt":{"rendered":"

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