The radioprotective effect of the Cathpax®
            <scp>AIR</scp>
            cabin during interventional cardiology procedures

Gutierrez-Barrios, Alejandro; Angulo-Pain, Esther; Noval-Morillas, Inmaculada; Cañadas, Dolores; Lastra, Inara Alarcón de la; Gheorghe, Livia; Zayas-Rueda, Ricardo; Calle-Pérez, Germán; Vázquez-García, Rafael

doi:10.1002/ccd.29773

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…Recently, the Cathpax ® AIR confirmed its feasibility and efficacy in a real-world setting by reducing first-operator relative radiation exposure by 78%. This effect was consistent during different types of procedures including emergent procedures, complex PCIs and structural procedures[ 24 ].…”

Section: Innovationsmentioning

confidence: 69%

Radiation protection for the interventional cardiologist: Practical approach and innovations

Gutierrez-Barrios¹,

Cañadas²,

Noval-Morillas³

et al. 2022

WJC

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Use of ionizing radiation during cardiac catheterization interventions adversely impacts both the patients and medical staff. In recent years, radiation dose in cardiac catheterization interventions has become a topic of increasing interest in interventional cardiology and there is a strong interest in reducing radiation exposure during the procedures. This review presents the current status of radiation protection in the cardiac catheterization laboratory and summarizes a practical approach for radiation dose management for minimizing radiation exposure. This review also presents recent innovations that have clinical potential for reducing radiation during cardiac interventions.

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Section: Innovationsmentioning

confidence: 69%

Radiation protection for the interventional cardiologist: Practical approach and innovations

Gutierrez-Barrios¹,

Cañadas²,

Noval-Morillas³

et al. 2022

WJC

Self Cite

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“…Cardiac catheterization procedures account for about 40% of total medical radiation exposure [2,21]. Despite the progress in X-ray instrumentation, protection devices, the introduction of robotic PCI, and foremost the increased awareness, the progressively increasing complexity of the procedures performed (including structural and valvular procedures) leads to a constant increase in operator exposure [22][23][24]. This increase was recently quantified in a 54% higher average fluoroscopy time when procedures performed in the year 2016 were compared to those performed 10 years before [25].…”

Section: Radiation Exposure In Interventional Cardiology and Interpretation Of The Present Findingsmentioning

confidence: 99%

Effectiveness of a Real-Time X-ray Dosimetry Monitor in Reducing Radiation Exposure in Coronary Procedures: The ESPRESSO-Raysafe Randomized Trial

Olschewski¹,

Ullrich²,

Brandt³

et al. 2021

JCM

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Background—Several methods to reduce radiation exposure in the setting of coronary procedures are available on the market, and we previously showed that additional radiation shields reduce operator exposure during radial interventions. We set out to examine the efficacy of real-time personal dosimetry monitoring in a real-world setting of radial artery catheterization. Methods and Results—In an all-comer prospective, parallel study, consecutive coronary diagnostic and intervention procedures were performed with the use of standard radiation shield alone (control group) or with the addition of a real-time dosimetry monitoring system (Raysafe, Billdal, Sweden, monitoring group). The primary outcome was the difference in exposure of the primary operator among groups. Additional endpoints included patient, nurse, second operator exposure and fluoroscopy time. A total of 700 procedures were included in the analysis (n = 369 in the monitoring group). There were no differences among groups in patients’ body mass index (p = 0.232), type of procedure (intervention vs. diagnostic, p = 0.172), and patient sex (p = 0.784). Fluoroscopy time was shorter in the monitoring group (5.6 (5.1–6.2) min vs. 7.0 (6.1–7.7) min, p = 0.023). Radiation exposure was significantly lower in the monitoring group for the patient (135 (115–151) µSv vs. 208 (176–245) µSv, p < 0.0001) but not for the first operator (9 (7–11) µSv vs. 10 (8–11), p = 0.70) and the assistant (2 (1–2) µSv vs. 2 (1–2) µSv, p = 0.121). Conclusions—In clinical daily practice, the use of a real-time dosimetry monitoring device reduces patient radiation exposure and fluoroscopy time without an effect on operator radiation exposure.

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Occupational Risks of Radiation Exposure to Cardiologists

Veillette,

Carrier,

Rinfret

et al. 2024

Curr Cardiol Rep

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The radioprotective effect of the Cathpax® AIR cabin during interventional cardiology procedures

Cited by 4 publications

References 27 publications

Radiation protection for the interventional cardiologist: Practical approach and innovations

Radiation protection for the interventional cardiologist: Practical approach and innovations

Effectiveness of a Real-Time X-ray Dosimetry Monitor in Reducing Radiation Exposure in Coronary Procedures: The ESPRESSO-Raysafe Randomized Trial

Occupational Risks of Radiation Exposure to Cardiologists

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