PM420 Does The Presence of Diabetes Influence Referral for Coronary Revascularization after Myocardial Perfusion Imaging?

Abstract

O ST E R A B ST R A C T S Results: Over a period of 8 weeks, 173 cases were included of which 111 were coronary angiography (64%) and the remainder PCI. There was a good correlation between PSD and FT r1⁄4 0.80, dose area product (DAP) r1⁄40.87 and Kar r1⁄40.92. 8 % of patients were regarded as high risk on PSD, 5% on Kar 4% on FT all of whom underwent PCI. 5 cases (3%) were only at risk on PSD. Patients undergoing angiography who were obese, had higher PSD (p 1⁄4 0.001), DAP (p1⁄4 0.001) and Kar (p 1⁄40.003). Radial access (n 1⁄4 57) compared with femoral conferred no difference in FT (6.7 vs 4.9 p 1⁄40.194,) Kar (0.696 vs 0.691 p 1⁄4 0.943) or PSD (0.322 vs 0.344 p 1⁄4 0.891). Conclusion: Peak skin dose as defined on DTS correlates well with Kar and fluoroscopy time. Whilst obesity is related to increased PSD, radial access site results in no increase. Real time PSD monitoring may allow greater risk stratification for patient safety in coronary procedures. Disclosure of Interest: None Declared