A1 Refereed original research article in a scientific journal
Implantation of CRT pacemaker during pregnancy: estimated fetal radiation dose
Authors: Manninen, Anna-Leena; Järvinen, Jukka; Sierpowska, Joanna; Mäkelä, Timo J.; Rissanen, Tuomas T.
Publisher: Oxford University Press
Publication year: 2024
Journal: Radiation Protection Dosimetry
Volume: 200
Issue: 15
First page : 1477
Last page: 1485
ISSN: 0144-8420
eISSN: 1742-3406
DOI: https://doi.org/10.1093/rpd/ncae182
Publication's open availability at the time of reporting: No Open Access
Publication channel's open availability : No Open Access publication channel
Web address : https://doi.org/10.1093/rpd/ncae182
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.