Operators’ radiation exposure reduction during cardiac catheterization using a removable shield

Arrivi, Alessio; Pucci, G; Vaudo, Gaetano; Bier, N; Bock, Carlo; Casavecchia, Matteo; Bazzucchi, Marco; Dominici, Marcello

doi:10.1007/s12928-020-00646-6

Cardiovasc Interv and Ther

2020

DOI: 10.1007/s12928-020-00646-6

|View full text |Cite

Operators’ radiation exposure reduction during cardiac catheterization using a removable shield

Alessio Arrivi

G Pucci

Gaetano Vaudo

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2020

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Radiation dose to the eye of physicians during radio frequency catheter ablation: a small-scale study

Morishima,

Chida,

Chiba

et al. 2024

Ir J Med Sci

View full text Add to dashboard Cite

Background Radio frequency catheter ablation (RFCA), a treatment for arrhythmia, requires a long fluoroscopy time that increases the radiation exposure dose to the physician, particularly to the lens of the eye. It is recommended that a lens-specific dosimeter such as DOSIRIS® is used to measure the dose to the lens. Aims In this study, we investigated whether conventional glass badges can be used as an alternative to lens dosimeters. Methods The doses to the lenses of two physicians (physician A, main operator; physician B, assistant; physician B was further away from the patient than physician A) were measured for 126 RFCA procedures performed over a 6-month period (fluoroscopy rate of 3.0 p/s with use of a ceiling-hanging shield). Results The cumulative value measured by a lens dosimeter attached to the inside of Pb glasses (0.07-mm dose equivalent) next to the left eye was 4.7 mSv for physician A, and 0.8 mSv for physician B. The reading on the glass badge worn on the left side of the neck was 4.7 mSv for physician A and 1.3 mSv for physician B. Lens dosimeter and glass badge values showed a good correlation for the left eye and left neck (r = 0.86, p < 0.01). Conclusions We show that glass badges may be a viable alternative to lens-equivalent dosimetry when using low-pulse fluoroscopy and a ceiling-hanging shield.

show abstract

Radiation dose to the eye of physicians during radio frequency catheter ablation: a small-scale study

Morishima,

Chida,

Chiba

et al. 2024

Ir J Med Sci

View full text Add to dashboard Cite

show abstract

A contemporary review of clinical significances of percutaneous coronary intervention for chronic total occlusions, with some Japanese insights

Morino

2021

Cardiovasc Interv and Ther

View full text Add to dashboard Cite

Efficacy of MAVIG X-Ray Protective Drapes in Reducing Operator Radiation Dose in the Cardiac Catheterization Laboratory

McCutcheon

Vanhaverbeke

Pauwels

et al. 2020

Circ: Cardiovascular Interventions

View full text Add to dashboard Cite

Background: Interventional cardiologists are occupationally exposed to high doses of ionizing radiation. The MAVIG X-ray protective drape (MXPD) is a commercially available light weight, lead-free shield placed over the pelvic area of patients to minimize operator radiation dose. The aim of this study was to examine the efficacy of the MXPD during routine cardiac catheterization, including percutaneous coronary interventions. Methods: We performed a prospective, randomized controlled study comparing operator radiation dose during cardiac catheterization and percutaneous coronary intervention (n=632) with or without pelvic MXPD. We measured operator radiation dose at 4 sites: left eye, chest, left ring finger, and right ring finger. The primary outcomes were the difference in first operator radiation dose (µSv) and relative dose of the first operator (radiation dose normalized for dose area product) at the level of the chest in the 2 groups. Results: The use of the MXPD was associated with a 50% reduction in operator radiation dose (median dose 30.5 [interquartile range, 23.0–39.7] µSv in no drape group versus 15.3 [interquartile range, 11.1–20.0] µSv in the drape group; P <0.001) and a 57% reduction in relative operator dose ( P <0.001). The largest absolute reduction in dose was observed at the left finger (median left finger dose for the no drape group was 104.9 [75.7–137.4] µSv versus 41.9 [32.6–70.6] µSv in the drape group; P <0.001). Conclusions: The pelvic MXPD significantly reduces first operator radiation dose during routine cardiac catheterization and percutaneous coronary intervention. REGISTRATION: URL: https://www.clinicaltrials.gov . Unique identifier: NCT04285944.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Operators’ radiation exposure reduction during cardiac catheterization using a removable shield

Cited by 3 publications

References 30 publications

Radiation dose to the eye of physicians during radio frequency catheter ablation: a small-scale study

Radiation dose to the eye of physicians during radio frequency catheter ablation: a small-scale study

A contemporary review of clinical significances of percutaneous coronary intervention for chronic total occlusions, with some Japanese insights

Efficacy of MAVIG X-Ray Protective Drapes in Reducing Operator Radiation Dose in the Cardiac Catheterization Laboratory

Contact Info

Product

Resources

About