Cardiology 2013

Alternate Journal: Kardiologia polska

ISSN: 0022-9032 (Print)

0022-9032 (Linking)

DOI: 10.5603/KP.2013.0313

Original Publication: Kardiologia interwencyjna w Polsce w 2012 roku. Raport Zarzadu Asocjacji Interwencji Sercowo-Naczyniowych Polskiego Towarzystwa Kardiologicznego.

Accession Number: 24297730

Notes: Dudek, Dariusz

Legutko, Jacek

Siudak, Zbigniew

Ochala, Andrzej

Wojakowski, Wojciech

Peruga, Zbigniew

Araszkiewicz, Aleksander

Deptuch, Tomasz

Szkutnik, Malgorzata

Lesiak, Maciej

Karcz, Maciej

Bartus, Stanislaw

Maciejewski, Pawel

pol

Poland

2013/12/04 06:00

Kardiol Pol. 2013;71(11):1213-9. doi: 10.5603/KP.2013.0313.

URL: http://www.ncbi.nlm.nih.gov/pubmed/24297730

Author Address: Instytut Kardiologii, Uniwersytet Jagiellonski, Collegium Medicum, Krakow. mcdudek@cyfronet.pl.

 

 

Reference Type:  Journal Article

Record Number: 727Author: Duran, A., Hian, S. K., Miller, D. L., Le Heron, J., Padovani, R. and Vano, E.

Year: 2013

Title: Recommendations for occupational radiation protection in interventional cardiology

Journal: Catheter Cardiovasc Interv

Volume: 82

Issue: 1

Pages: 29-42

Date: Jul 1

Short Title: Recommendations for occupational radiation protection in interventional cardiology

Alternate Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

ISSN: 1522-726X (Electronic)

1522-1946 (Linking)

DOI: 10.1002/ccd.24694

Accession Number: 23475846

Keywords: Cardiac Catheterization/*adverse effects/standards

Dose-Response Relationship, Radiation

Equipment Design

Fluoroscopy/adverse effects

Humans

Occupational Diseases/etiology/*prevention & control

Occupational Exposure/*prevention & control/standards

Occupational Health/standards

Practice Guidelines as Topic

Protective Clothing

*Radiation Dosage

Radiation Injuries/etiology/*prevention & control

*Radiation Protection/instrumentation/standards

Radiography, Interventional/*adverse effects/standards

Risk Assessment

Risk Factors

Abstract: The radiation dose received by cardiologists during percutaneous coronary interventions, electrophysiology procedures and other interventional cardiology procedures can vary by more than an order of magnitude for the same type of procedure and for similar patient doses. There is particular concern regarding occupational dose to the lens of the eye. This document provides recommendations for occupational radiation protection for physicians and other staff in the interventional suite. Simple methods for reducing or minimizing occupational radiation dose include: minimizing fluoroscopy time and the number of acquired images; using available patient dose reduction technologies; using good imaging-chain geometry; collimating; avoiding high-scatter areas; using protective shielding; using imaging equipment whose performance is controlled through a quality assurance programme; and wearing personal dosimeters so that you know your dose. Effective use of these methods requires both appropriate education and training in radiation protection for all interventional cardiology personnel, and the availability of appropriate protective tools and equipment. Regular review and investigation of personnel monitoring results, accompanied as appropriate by changes in how procedures are performed and equipment used, will ensure continual improvement in the practice of radiation protection in the interventional suite. These recommendations for occupational radiation protection in interventional cardiology and electrophysiology have been endorsed by the Asian Pacific Society of Interventional Cardiology, the European Association of Percutaneous Cardiovascular Interventions, the Latin American Society of Interventional Cardiology, and the Society for Cardiovascular Angiography and Interventions.

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