A1 Refereed original research article in a scientific journal

Implantation of CRT pacemaker during pregnancy: estimated fetal radiation dose




AuthorsManninen, Anna-Leena; Järvinen, Jukka; Sierpowska, Joanna; Mäkelä, Timo J.; Rissanen, Tuomas T.

PublisherOxford University Press

Publication year2024

Journal: Radiation Protection Dosimetry

Volume200

Issue15

First page 1477

Last page1485

ISSN0144-8420

eISSN1742-3406

DOIhttps://doi.org/10.1093/rpd/ncae182

Publication's open availability at the time of reportingNo Open Access

Publication channel's open availability No Open Access publication channel

Web address https://doi.org/10.1093/rpd/ncae182


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.


Funding information in the publication
None declared.


Last updated on 27/02/2025 12:41:03 PM