Magnetic navigation versus mobile C-Arm

The aim of this study was to demonstrate differences in radiation protection aspects between the use of a digital cardio angiography system with magnetic navigation (Artis Axiom dFcM + Stereotaxis NIOBE (registered) Magnetic Navigation System) and a standard mobile X-ray device with C-arm for electrophysiological procedures. Radiation exposure to staff and patients were analyzed and used for comparison. The time distribution of cardiology procedures for one physician is shown to introduce work of electrophysiology section. The records of procedures were used as information and as a data source for this study. These records include written operation as well as printed exam protocols. This study shows time course of procedures using the electro anatomical mapping system 'CARTO'. A single physicians performance has been used for this comparison to avoid possible differences between operators. The exposure time and air kerma product (PKA) values have been compared for both devices. Median value of exposure time, for each group of 20 patients, was reduced from 27.1 minutes to 20.0 minutes and radiation exposure from 12468 cGycm2 to 9078 cGycm2 PKA values. There is also scattered radiation in the operation area for C-Arm and the new technology presented. Magnetic navigation and replacing C-Arm by cardio angiography system reduces the personal dose by nearly one third, this fact was traced from personal monitoring reports. The main reason for saving time is the necessity to operate the catheter by joystick on a control panel from an adjacent room. These new technologies bring more effectiveness into interventional procedures, especially in cases of complicated examination, and reduce radiation exposure to patients and staff significantly. (author)