Staff eye lens and extremity exposure in interventional cardiology: Results of the ORAMED project

Donadille, L.; Carinou, E.; Brodecki, Marcin; Domienik, J.; Jankowski, J; Koukorava, C.; Krim, Selim R.; Nikodémová, D.; Ruiz-López, N.; Sans-Mercé, M.; Struelens, Lara; Vanhavere, F.; Zaknoune, R.

doi:10.1016/j.radmeas.2011.06.034

Cited by 70 publications

(40 citation statements)

References 18 publications

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“…This may be due to the fact that, during the procedure, hands may frequently lie in unprotected positions (below or to the side of the screen) and the protection strongly depends on the correct positioning of the screen. This observation is in agreement with previous work (Whitby and Martin, 2005;Donadille et al, 2011) and the arguments given explaining the results obtained were also used by Koukorava et al (2011).…”

Section: Effect Of Protective Equipmentsupporting

confidence: 94%

“…From Tables 3 and 4, the median registered dose for close procedures (n = 123, 0.25 mSv) was found to be significantly greater than that for distal procedures (n = 223, 0.11 mSv). This result is in total agreement with expectations and with previous studies (Whitby and Martin, 2005;Blanpain et al, 2008;Donadille et al, 2011). Table 2 documents finger doses as a function of procedure class and shows that the lowest doses are for Cerebral procedures (0.02 mSv, close to the LDL), since the femoral access route is mostly used during such procedures.…”

Section: Effect Of Proximitysupporting

confidence: 91%

“…) and for coronarography and coronary angioplasty (Kim et al, 2008;Donadille et al, 2011). However, for pacemaker and defibrillator implantation, the mean finger doses reported here are smaller than those reported by Kim et al (2008) and Donadille et al (2011).…”

Section: Effect Of Proximitymentioning

confidence: 50%

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Statistical analysis of measured operators’ finger doses in interventional radiology

Feghali¹,

Tagnard-Mérat²,

Donadille³

et al. 2014

Radioprotection

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-This work suggests a classification of interventional radiology and cardiology procedures based on statistical analysis of operators' finger doses measured in routine clinical conditions. In total, 346 finger doses were measured and the observed mean finger dose per class of procedure ranged from 0.03 mSv to 1.56 mSv for Cerebral, and Bone and Joint procedures, respectively. The statistical analysis showed that the finger dose in Cerebral procedures is significantly lower than in Cardiac procedures, which was significantly lower than the rest. Furthermore, finger doses in therapeutic procedures and in close ones were significantly greater than in diagnostic procedures and in distal ones. This work also studied the statistical relation between the use of ceiling-suspended shields or leaded gloves and the extremity dose. From the set of collected and analyzed data, a finger dose classification was proposed for different criteria: procedure type (diagnostics/therapeutic), proximity (close/distal), procedure class and access route.

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Section: Effect Of Protective Equipmentsupporting

confidence: 94%

Section: Effect Of Proximitysupporting

confidence: 91%

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Statistical analysis of measured operators’ finger doses in interventional radiology

Feghali¹,

Tagnard-Mérat²,

Donadille³

et al. 2014

Radioprotection

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“…These dosimeters were calibrated by the Belgian Nuclear Research Center to precisely record extremity and eye lens radiation doses. The measurement protocol was validated by a European project focus on radiation dose measurement in interventional radiology [9,10]. The overall operation time was also collected for each patient.…”

Section: Patients and Proceduresmentioning

confidence: 99%

“…Recent studies [9][10][11] have demonstrated that extremity and eye lens doses may surpass operational limits in interventional radiology and cardiology. Interestingly, ways to reduce X-ray exposure were recently published for spinal procedures [12,13].…”

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confidence: 99%

The surgeon’s real dose exposure during balloon kyphoplasty procedure and evaluation of the cement delivery system: a prospective study

2013

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Purpose Balloon kyphoplasty is currently widely used for the treatment of vertebral compression fractures (VCFs). Procedure safety is directly linked to precise radiological imaging generated by various X-ray systems (C-arm, O-arm Ò , angiography table, etc.). This minimally invasive spinal surgery is, by definition, associated with significant radiation exposure for both patient and surgeon. Real dose exposure received by the surgeon is usually difficult to precisely record. In our center, all Balloon Kyphoplasty Procedures (BKP) are now performed using an O-arm Ò image guidance system to control cement augmentation in VCF. Our preliminary experience described reduced dose exposure compared to C-arm guided procedures. We present here an additional way to considerably reduce the amount of radiation received by the surgeon during BKP using a new injection system. Methods We prospectively evaluated O-arm Ò guided BKP in 20 consecutive patients alternatively allocated to either classic O-arm Ò BKP with direct bone filler injection or BKP using a new Cement Delivery System (CDS). Eye, wrist, finger and leg measurements were taken bilaterally and compared between the two groups.Results The radiation dose received by the surgeon's finger, wrist and leg was reduced by greater than 80 % when using the CDS. It allows the surgeon to work way below the most severe annual limit of dose exposure, which may not be the case when using a classical bone filler direct injection mechanism. Conclusion We believe that when using this new intraoperative injection system, the surgeon's overall anatomic exposure is significantly reduced without compromising the critical procedure steps.Keywords Balloon kyphoplasty Á Vertebral compression fractures Á Radiation exposure Á Minimal invasive spinal surgery Á Cement delivery system Purpose As the population continues to age, the challenge for treating vertebral compression fractures (VCFs) due to osteoporosis, trauma, metastases and myeloma, and their respective complications will become increasingly prevalent. VCF mainly due to osteoporosis represents today a major concern amongst elderly patients, frequently leading to pain, disability and deterioration of quality of life. Every year worldwide an estimated 1.4 million VCFs cause pain and suffering [1][2][3]. Annually, there are an estimated 700,000 osteoporotic VCFs in the United States [4,5]. Approximately, 26 % of women over the age of 50 and 40 % of women over 80 years of age are reported to have sustained a VCF [4,6].At present, conservative non-surgical treatment of VCFs with drugs, surgical braces and rehabilitation still has shortcomings. Recently, the development of minimal invasive surgery (MIS), such as balloon kyphoplasty, has Electronic supplementary material The online version of this article

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Assessment of clinical occupational dose reduction effect of a new interventional cardiology shield for radial access combined with a scatter reducing drape

Gilligan

Lynch²,

Eder

et al. 2015

Cathet Cardio Intervent

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Staff eye lens and extremity exposure in interventional cardiology: Results of the ORAMED project

Cited by 70 publications

References 18 publications

Statistical analysis of measured operators’ finger doses in interventional radiology

Statistical analysis of measured operators’ finger doses in interventional radiology

The surgeon’s real dose exposure during balloon kyphoplasty procedure and evaluation of the cement delivery system: a prospective study

Assessment of clinical occupational dose reduction effect of a new interventional cardiology shield for radial access combined with a scatter reducing drape

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