Editor's Choice – European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on Radiation Safety

Modarai, Bijan; Haulon, Stéphan; Hertault, Adrien; Wanhainen, Anders; Patel, Ashish; Böckler, Dittmar; Vañó, Eliseo; Ainsbury, Elizabeth A.; Herzeele, Isabelle Van; van, Joost; Dawson, Joseph; Weiss, Salome; Gonçalves, Frederico Bastos; Björck, Martin; Chakfé, Nabil; Borst, Gert J. de; Coscas, Raphaël; Dias, Nuno; Dick, Florian; Hinchliffe, Robert J.; Kakkos, Stavros K.; Kolh, Philippe; Končar, Igor; Lindholt, Jes Sanddal; Trimarchi, Santi; Tulamo, Riikka; Twine, Christopher P.; Vermassen, Frank; Bacher, Klaus; Brountzos, Elias; Fanelli, Fabrizio; Domingos, Liliana Fidalgo; Gargiulo, Mauro; Mani, Kevin; Mastracci, Tara M.; Maurel, Blandine; Morgan, Robert; Schneider, Peter A.

doi:10.1016/j.ejvs.2022.09.005

Cited by 67 publications

(20 citation statements)

References 335 publications

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“…The European Society for Vascular Surgery has already recommended that female operators consider adopting this additional protection. 20 Employers worldwide have a duty of care to workers exposed to ionising radiation, and therefore should provide adequate protection. The female breast seems to be particularly vulnerable, and it is therefore important employers invest in protective equipment that enhances the safety of all their staff.…”

Section: Better Protectionmentioning

confidence: 99%

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Protecting female healthworkers from ionising radiation at work

Pilkington

Sevenoaks

James

et al. 2023

BMJ

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Exposure to ionising radiation during image guided procedures has been associated with a higher incidence of breast cancer in female healthcare workers. 1 -6 Lead or lead equivalent gowns are used to reduce radiation exposure during image guided procedures, but studies have shown that current gowns provide inadequate protection to breast tissue as they leave the upper outer quadrant and axilla exposed. 7 8

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Section: Better Protectionmentioning

confidence: 99%

“…Each new design to the market should be tested rigorously before claiming that it protects the upper outer quadrant. The European Society for Vascular Surgery has already recommended that female operators consider adopting this additional protection 20…”

Section: Better Protectionmentioning

confidence: 99%

Protecting female healthworkers from ionising radiation at work

Pilkington

Sevenoaks

James

et al. 2023

BMJ

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“…Increasing attention has been paid to these important drawbacks of fluoroscopy and, importantly, the awareness of occupational radiation exposure during these interventions has increased. This increased awareness is reflected by the 2023 clinical practice guidelines on radiation safety by the European Society for Vascular Surgery (ESVS) [ 9 ], which give firm recommendations and expose knowledge gaps regarding radiation safety during endovascular (aortic) interventions.…”

Section: Per-procedural Phasementioning

confidence: 99%

The Current Era of Endovascular Aortic Interventions and What the Future Holds

Teraa

Hazenberg

2022

JCM

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“…Personal protective equipment (PPE) consists of personal radiation protective equipment; e.g., lead-equivalent aprons and thyroid shields and in-room radiation protective devices, such as ceiling and table mounted lead screens. Although the importance of radiation protection is unquestioned, recent studies highlight a lack or variability in knowledge and awareness about the use and risks of ionizing radiation and radiation safety in departments performing FGP (Rehani 2007; Kim et al 2010; Bordoli et al 2014; Silkoset et al 2015; Kaplan et al 2016; Kurtul and Kurtul 2018; Harris et al 2019; Modarai et al 2023). These findings might be due to substantial differences in the prevailing radiation shielding policies between departments.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, a high variability in knowledge among staff was noticed within the same departments (Kim et al 2010; Bordoli et al 2014; Kurtul and Kurtul 2018; Modarai et al 2023). Unsurprisingly, this variability is inherent to different scientific backgrounds of staff regarding ionizing radiation.…”

Section: Introductionmentioning

confidence: 99%

Multicentric Study on the Relation between Perceived Department Radiation Shielding Policies and Staff Radiation Shielding Conscientiousness

et al. 2023

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Personal protective equipment (PPE), including personal garments as well as in-room devices, is crucial to minimize ionizing radiation exposure during fluoroscopy-guided procedures. However, recent studies have highlighted a lack of knowledge and awareness between and within departments about the use and risks of ionizing radiation and radiation safety. Employees differ in their conscientiousness regarding PPE and perceive the program regarding PPE differently. It has been shown that being conscientious about safety precedes safety behavior and can be triggered through increased perception of the present safety policy. This study explores the relation between employees’ perception of the PPE program and their PPE conscientiousness. Employees from interventional cardiology (IC), interventional radiology (IR), and vascular surgery (VS) were invited to complete anonymously a self-administered online survey assessing the perceived PPE program, their own PPE conscientiousness, and demographics. Associations between PPE program and PPE conscientiousness were investigated using forward stepwise regression on a significance level of 5%. Study variables were standardized. Sixty-one out of the 72 (84.7%) participants answered the survey fully. The PPE program was positively associated with PPE conscientiousness [ =0.32 (CI: 0.02 to 0.51)]. This association was found to be department-dependent (p-value < 0.001). Significant mean differences in PPE conscientiousness were found between IC and IR and between IC and VS, respectively [ =1.25 (CI: 0.69 to 1.82)] and [ =0.63 (CI: 0.06 to 1.20)]. This study is the first to investigate the relation between the perceived PPE program and employees’ PPE conscientiousness. The positive association between PPE program and PPE conscientiousness suggests that employees’ perception of the prevailing PPE program in their department might influence their PPE conscientiousness. Therefore, policy makers are recommended to not only improve their PPE program but also enhance employees’ perception of the reigning PPE program in order to foster their radiation shielding behavior.

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Editor's Choice – European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on Radiation Safety

Cited by 67 publications

References 335 publications

Protecting female healthworkers from ionising radiation at work

Protecting female healthworkers from ionising radiation at work

The Current Era of Endovascular Aortic Interventions and What the Future Holds

Multicentric Study on the Relation between Perceived Department Radiation Shielding Policies and Staff Radiation Shielding Conscientiousness

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