Effectiveness of radiation protection systems in the cardiac catheterization laboratory: a comparative study

Cammann, Victoria L.; Schweiger, Victor; Cieslik, Maciej; Seifert, Burkhardt; Gilhofer, Thomas; Koleva, I; Würdinger, Michael; Candreva, Alessandro; Gajic, Marko; Michel, Jonathan; Jakob, Philipp; Stehli, Julia; Stähli, Barbara E.; Templin, Christian; Gotschy, Alexander

doi:10.1007/s00392-022-02142-8

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Table curtains are lead flaps hanging down from the table. The CSS protects the upper half of the operator from scattered radiation, while the table curtains cover the lower half (14,15) . This section evaluates the dose rate at the measuring point with and without CSS and table curtains.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Cumulative Effects of Fundamental Radiation Safety Measures on Health Professionals in Cath Lab

Nair,

Gupta,

Shine

et al. 2024

IJST

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Objectives: The significant rise in modern cath lab units has led to a proportionate increase in cath lab procedures and subsequent radiation environment may elevate the occupational radiation exposure to staff. This study aimed to assess the collective impact of fundamental radiation safety devices in the cath lab on decreasing occupational radiation exposure to staff. Methods: This study was conducted in our cath lab room, equipped with a Siemens Artis cath lab unit. Measurements were performed using RaySafe X2 detectors and Thermo Luminescent Dosimeters (TLDs). Dose assessments were conducted without safety measures and then found a considerable reduction of dose by adding basic radiation safety measures. Findings: The use of lead aprons resulted in a substantial reduction( 92%) in radiation dose. The effect of time and distance versus dose was plotted. The impact of lead flaps and the use of a ceiling suspension shield quantify reductions in scattered doses. The cumulative impact of each safety measure was calculated, and the outcome indicates a 99% reduction in dose. The importance of utilizing all available protective measures when working with radiation cannot be overstated. It is essential for maximizing safety, minimizing risks, and fostering a culture of safety within radiation environments like cath labs. Novelty: This is a thorough assessment of different radiation protection strategies in the specific setting of a Cath lab. It not only evaluates individual measures but also considers their combined impact and the calculation based on the exit dose from the patient. Keywords: Cardiologist, Radiation Dose, Interventional Radiology, Radiation protection, Cath lab

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Section: Methodsmentioning

confidence: 99%

Evaluating the Cumulative Effects of Fundamental Radiation Safety Measures on Health Professionals in Cath Lab

Nair,

Gupta,

Shine

et al. 2024

IJST

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Implementing a ‘Lead [Apron]-Free’ Cardiac Catheterization: Current Status

Patel,

Tang

et al. 2024

Curr Cardiol Rep

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Purpose of Review In this review, we discuss the status of novel radiation shielding and other methods to reduce radiation exposure and its associated health risks within the CCL. Recent Findings There are many devices on the market each with its unique advantages and inherent flaws. Several are available for widespread use with promising data, while others still in development. Summary The field of percutaneous transcatheter interventions includes complex procedures often involving significant radiation exposure. Increased radiation exposes the proceduralist and CCL staff to potential harm from both direct effects of radiation but also from the ergonomic consequences of daily use of heavy personal protective equipment. Here we discuss several innovative efforts to reduce both radiation exposure and orthopedic injury within the CCL that are available, leading to a safer daily routine in a “lead [apron]-free” environment.

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Role of Different Adjunctive Protective Devices to Reduce Operator Radiation Exposure in Percutaneous Coronary Procedures: The RAPTOR Study

Sciahbasi,

Salvi,

Patrizi

et al. 2024

Journal of Interventional Cardiology

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Objective. To compare the relative effectiveness of different anti‐Rx devices in terms of radiation dose absorbed by operators during percutaneous coronary procedures (diagnostic or interventional). Background. Direct comparisons among different adjunctive anti‐Rx devices during percutaneous coronary procedures to reduce operator radiation exposure are lacking. Methods. We retrospectively analyzed the last 200 percutaneous procedures performed by a single operator according to the use of adjunctive protective devices (group 1) or standard anti‐Rx setting (group 2). Subsequently, the procedures in group 1 have been divided according to the protective device utilized (homemade pelvic drape with under‐table curtain, or RADPAD drape, or the STAR System device, or the Rampart shield). The primary endpoint was the operator radiation dose at the thorax. Results. Groups 1 and 2 did not show significant differences in terms of anthropometric data or cardiovascular risk factors. The use of adjunctive anti‐Rx devices was associated with a significant reduction in operator radiation exposure compared to standard radioprotection (12.8 μSv [7–21] and 22.6 μSv [11–36], respectively; p < 0.0001). Globally, the anti‐Rx devices utilized were associated with a reduced operator radiation exposure (11.7 μSv [2–19] for homemade drapes, 13.5 μSv [9–29] for RADPAD drape, 15 μSv [11–30] for STAR Board System, and 8 μSv [5–19] for Rampart; p < 0.0001) with the homemade drapes and the Rampart system showing a lower operator exposure. Conclusions. The use of anti‐Rx devices during percutaneous coronary procedures is associated with a significant lower operator radiation exposure with the greater effect obtained with pelvic drapes and the Rampart system.

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Effectiveness of radiation protection systems in the cardiac catheterization laboratory: a comparative study

Cited by 3 publications

References 20 publications

Evaluating the Cumulative Effects of Fundamental Radiation Safety Measures on Health Professionals in Cath Lab

Evaluating the Cumulative Effects of Fundamental Radiation Safety Measures on Health Professionals in Cath Lab

Implementing a ‘Lead [Apron]-Free’ Cardiac Catheterization: Current Status

Role of Different Adjunctive Protective Devices to Reduce Operator Radiation Exposure in Percutaneous Coronary Procedures: The RAPTOR Study

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