Radioprotective lightweight caps in the interventional cardiology setting: a randomised controlled trial (PROTECT)

Uthoff, Heiko; Quesada, Ramon; Roberts, Jonathan; Baumann, Frederic; Schernthaner, Melanie; Zaremski, Lynn; Hajirawala, Luv; Katzen, Barry T.; Staub, Daniel; Kreusch, Andreas S.

doi:10.4244/eijv11i1a9

Cited by 23 publications

(22 citation statements)

References 37 publications

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“…Aun cuando no se demostró que la exposición a radiación ionizante en forma constante sea la causa de esas lesiones, tampoco se descartó dicha posibilidad. En cuanto a la efectividad de los gorros con materiales radioprotectores (Pb 0,5; sulfato de bario-óxido de bismuto equivalente a 0,5 mm de Pb), estos demostraron ser efectivos en reducir la radiación [5][6][7] . Los cardiólogos intervencionistas trabajan varias horas diariamente y por muchos años, existiendo una exposición acumulada significativa de radiación ionizante 3,8 .…”

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¿Es eficiente la protección anti-radiación otorgada por gorros de pabellón de tungsteno-bismuto en cardiología intervencionista?

Ramos-Avasola

Díaz

et al. 2016

Rev. méd. Chile

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¿Es eficiente la protección anti-radiación otorgada por gorros de pabellón de tungsteno-bismuto en cardiología intervencionista?

Ramos-Avasola

Díaz

et al. 2016

Rev. méd. Chile

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“…Different other radiation protection caps are available, partially also covering the oral mucosa and parotis glands. All clinically evaluated models have shown the ability to reduce the radiation exposure significantly between 62% and 90% [7, 8, 20, 21] in interventional cardiologists. Our measurements showed a reduction of 83–85%.…”

Section: Discussionmentioning

confidence: 99%

Assessing the level of radiation experienced by anesthesiologists during transfemoral Transcatheter Aortic Valve Implantation and protection by a lead cap

et al. 2019

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ObjectiveTransfemoral Transcatheter Aortic Valve Implantation (TAVI) has become a standard therapy for patients with aortic valve stenosis. Fluoroscopic imaging is essential for TAVI with the anesthesiologist’s workplace close to patient’s head side. While the use of lead-caps has been shown to be useful for interventional cardiologists, data are lacking for anesthesiologists.MethodsA protective cap with a 0.35 lead-equivalent was worn on 15 working days by one anesthesiologist. Six detectors (three outside, three inside) were analyzed to determine the reduction of radiation. Literature search was conducted between April and October 2018.ResultsIn the observational period, 32 TAVI procedures were conducted. A maximum radiation dose of 0.55 mSv was detected by the dosimeters at the outside of the cap. The dosimeters inside the cap, in contrast, displayed a constant radiation dose of 0.08 mSv.ConclusionThe anesthesiologist’s head is exposed to significant radiation during TAVI and it can be protected by wearing a lead-cap.

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“…Lightweight lead-equivalent caps containing barium sulfate and bismuth oxide composite were found to reduce radiation dose by 90%; these caps weigh about 125 g and are comfortable to wear. 45…”

Section: Lead Capsmentioning

confidence: 99%

Strategies to Reduce Radiation Exposure in Electrophysiology and Interventional Cardiology

Shankar

Padmanabhan

Chandrashekharaiah

et al. 2020

US Cardiology Review

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Clinical diagnosis sometimes involves the use of medical instruments that employ ionizing radiation. However, ionizing radiation exposure is a workplace hazard that goes undetected and is detrimental to patients and staff in the catheterization laboratory. Every possible effort should be made to reduce the amount of radiation, including scattered radiation. Implementing radiation dose feedback may have a role in reducing exposure. In medicine, it is important to estimate the potential biologic effects on, and the risk to, an individual. In general, implantation of cardiac resynchronization devices is associated with one of the highest operator exposure doses due to the proximity of the operator to the radiation source. All physicians should work on the principle of as low as reasonably achievable. Methods for reducing radiation exposure must be implemented in the catheterization laboratory. In this article, we review the available tools to lower the radiation exposure dose to the operator during diagnostic, interventional, and electrophysiological cardiac procedures.

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Radioprotective lightweight caps in the interventional cardiology setting: a randomised controlled trial (PROTECT)

Abstract: Lightweight XPF caps show comparable comfort to standard fabric caps, but provide substantial radiation protection during fluoroscopy-guided cardiac interventions.

Cited by 23 publications

References 37 publications

¿Es eficiente la protección anti-radiación otorgada por gorros de pabellón de tungsteno-bismuto en cardiología intervencionista?

¿Es eficiente la protección anti-radiación otorgada por gorros de pabellón de tungsteno-bismuto en cardiología intervencionista?

Assessing the level of radiation experienced by anesthesiologists during transfemoral Transcatheter Aortic Valve Implantation and protection by a lead cap

Strategies to Reduce Radiation Exposure in Electrophysiology and Interventional Cardiology

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