Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape.

Andrew Ertel, Jeffrey Nadelson, Adhir R Shroff, Ranya Sweis, Dean Ferrera, Mladen I Vidovich
{"title":"Radiation Dose Reduction during Radial Cardiac Catheterization: Evaluation of a Dedicated Radial Angiography Absorption Shielding Drape.","authors":"Andrew Ertel,&nbsp;Jeffrey Nadelson,&nbsp;Adhir R Shroff,&nbsp;Ranya Sweis,&nbsp;Dean Ferrera,&nbsp;Mladen I Vidovich","doi":"10.5402/2012/769167","DOIUrl":null,"url":null,"abstract":"<p><p>Objectives. Radiation scatter protection shield drapes have been designed with the goal of decreasing radiation dose to the operators during transfemoral catheterization. We sought to investigate the impact on operator radiation exposure of various shielding drapes specifically designed for the radial approach. Background. Radial access for cardiac catheterization has increased due to improved patient comfort and decreased bleeding complications. There are concerns for increased radiation exposure to patients and operators. Methods. Radiation doses to a simulated operator were measured with a RadCal Dosimeter in the cardiac catheterization laboratory. The mock patient was a 97.5 kg fission product phantom. Three lead-free drape designs were studied. The drapes were placed just proximal to the right wrist and extended medially to phantom's trunk. Simulated diagnostic coronary angiography included 6 minutes of fluoroscopy time and 32 seconds of cineangiography time at 4 standard angulated views (8 s each), both 15 frames/s. ANOVA with Bonferroni correction was used for statistical analysis. Results. All drape designs led to substantial reductions in operator radiation exposure compared to control (P < 0.0001). The greatest decrease in radiation exposure (72%) was with the L-shaped design. Conclusions. Dedicated radial shielding drapes decrease radiation exposure to the operator by up to 72% during simulated cardiac catheterization.</p>","PeriodicalId":73519,"journal":{"name":"ISRN cardiology","volume":"2012 ","pages":"769167"},"PeriodicalIF":0.0000,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/769167","citationCount":"26","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ISRN cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5402/2012/769167","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 26

Abstract

Objectives. Radiation scatter protection shield drapes have been designed with the goal of decreasing radiation dose to the operators during transfemoral catheterization. We sought to investigate the impact on operator radiation exposure of various shielding drapes specifically designed for the radial approach. Background. Radial access for cardiac catheterization has increased due to improved patient comfort and decreased bleeding complications. There are concerns for increased radiation exposure to patients and operators. Methods. Radiation doses to a simulated operator were measured with a RadCal Dosimeter in the cardiac catheterization laboratory. The mock patient was a 97.5 kg fission product phantom. Three lead-free drape designs were studied. The drapes were placed just proximal to the right wrist and extended medially to phantom's trunk. Simulated diagnostic coronary angiography included 6 minutes of fluoroscopy time and 32 seconds of cineangiography time at 4 standard angulated views (8 s each), both 15 frames/s. ANOVA with Bonferroni correction was used for statistical analysis. Results. All drape designs led to substantial reductions in operator radiation exposure compared to control (P < 0.0001). The greatest decrease in radiation exposure (72%) was with the L-shaped design. Conclusions. Dedicated radial shielding drapes decrease radiation exposure to the operator by up to 72% during simulated cardiac catheterization.

Abstract Image

Abstract Image

Abstract Image

桡动脉心导管置管期间的辐射剂量降低:专用桡动脉造影吸收屏蔽罩的评价。
目标。为了降低经股导管操作人员的辐射剂量,设计了辐射散射防护罩。我们试图调查各种专门为径向入路设计的屏蔽帘对操作人员辐射暴露的影响。背景。由于患者舒适度的提高和出血并发症的减少,心导管的径向通路增加了。人们担心病人和操作人员受到的辐射会增加。方法。在心导管实验室用RadCal剂量计测量模拟操作者的辐射剂量。模拟病人是一个97.5公斤的裂变产物幻影。研究了三种无铅窗帘设计。窗帘被放置在右手腕的近端,并向内侧延伸到幻影的躯干。模拟诊断冠状动脉造影包括6分钟的透视时间和32秒的4个标准角度的血管造影时间(每个8秒),均为15帧/秒。采用Bonferroni校正的方差分析进行统计分析。结果。与对照组相比,所有悬垂设计都显著减少了操作人员的辐射暴露(P < 0.0001)。l型设计最大程度降低了辐射暴露(72%)。结论。在模拟心导管插管期间,专用的径向屏蔽罩可将操作者的辐射暴露减少高达72%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信