Occupational eye dose to medical staff in various interventional cardiologic procedures: is the need for lead goggles the same in all groups of radiation workers?

Asgari, Azam; Parach, Ali Asghar; Mirmohammadi, Seyyed Jalil; Mehrparvar, Amir Houshang; Nekoofar, Zahra; Daneshian, Elahe; Bouzarjomehri, F.; SeyedHosseini, Seyed Mostafa; Andishmand, Abbas; Dastmalchi, Jalal; Emami, Mahmood

doi:10.1007/s10554-020-01864-y

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…The majority of previous studies have indicated that occupational doses to operators are significantly higher than to other staff [ 30 , 34 , 35 ]. The results in this study indicated that the average eye dose to the operator and to the scrub nurse was significantly higher than to the circulator nurse during procedures of the chest, chest + pelvis, abdo, EVARs, pelvis + SL, and abdo + SL (operator only), abdo + BL.…”

Section: Discussionmentioning

confidence: 99%

“…It was typical for scrubbed staff to wear lead shin protectors and glasses, and the scrub nurses often utilized lead skull caps. Due to the higher scattered radiation levels at the temple closest to the x-ray gantry [ 27 – 30 ], DoseAware badges were worn as close as practicable to the eye orientated nearer to the x-ray tube. Dosimeters were attached to the skull cap (Fig.…”

Section: Methodsmentioning

confidence: 99%

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Fluoroscopically guided vascular and cardiac transcatheter procedures: a comparison of occupational and patient dose by anatomical region

et al. 2023

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X-ray guided procedures are being performed by an increasing variety of medical specialties. Due to improvements in vascular transcatheter therapies, there is an increasing overlap of imaged anatomy between medical specialties. There is concern that non-radiology fluoroscopic operators may not have sufficient training to be well informed of the potential implications of radiation exposure and mitigation strategies to reduce dose. This was a prospective, observational, single center study to compare occupational and patient dose levels when imaging different anatomical regions during fluoroscopically guided cardiac and endovascular procedures. Occupational radiation dose was measured at the level of the temple of 24 cardiologists and 3 vascular surgeons (n = 1369), 32 scrub nurses (n = 1307) and 35 circulating nurses (n = 885). The patient dose was recorded for procedures (n = 1792) performed in three angiography suites. Abdominal imaging during endovascular aneurysm repair (EVAR) procedures was associated with a comparatively high average patient, operator and scrub nurse dose despite additional table-mounted lead shields. Air kerma was relatively high for procedures performed in the chest, and chest + pelvis. Higher dose area product and staff eye dose were recorded during procedures of the chest + pelvis due to the use of digital subtraction angiography to evaluate access route prior to/during transaortic valve implantation. Scrub nurses were exposed to higher average radiation levels than the operator during some procedures. Staff should be cognizant of the potentially higher radiation burden to patients and exposed personnel during EVAR procedures and cardiac procedures using digital subtraction angiography.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%