Vasc Spec Int.  2019 Jun;35(2):70-76. 10.5758/vsi.2019.35.2.70.

Endovascular Intervention with a Mobile C-Arm in the Operating Room

• Joh JH

• KMID: 2455136
• DOI: http://doi.org/10.5758/vsi.2019.35.2.70

Abstract

Mobile C-arm fluoroscopic X-ray systems are used for various diagnostic imaging and minimally invasive endovascular procedures. One of the greatest advantages of a mobile C-arm is its ability to move around the patient. The purpose of this study was to address the optimal setting of the mobile C-arm and the operating table, as well as the proper position of the operator and assistants for each procedure. In addition, methods to minimize radiation exposure to the operator and medical staff are described. Both the optimal setting and the proper position were classified by 5 types. These include the setting for aortic and inferior vena caval procedures (type I); left lower extremity (LE) intervention with an up-and-over technique (type II); right LE intervention with up-and-over technique, or bilateral LE vascular intervention with antegrade access (type III); arteriovenous fistula/graft intervention (type IV); and central vein catheterization (type V).

Keyword

Fluoroscopy; Endovascular procedures; Aorta; Lower extremity; Catheterization

MeSH Terms

Aorta
Catheterization
Catheters
Diagnostic Imaging
Endovascular Procedures
Fluoroscopy
Humans
Lower Extremity
Medical Staff
Operating Rooms*
Operating Tables
Radiation Exposure
Veins