Cardiology 2013. Part II.
March 9, 2014
Notes: Duran, Ariel
Hian, Sim Kui
Miller, Donald L
Le Heron, John
Catheter Cardiovasc Interv. 2013 Jul 1;82(1):29-42. doi: 10.1002/ccd.24694. Epub 2013 Mar 8.
Author Address: Cardiology Department, University Hospital, Montevideo, Uruguay.
Reference Type: Journal Article
Record Number: 1083Author: Duran, A., Hian, S. K., Miller, D. L., Le Heron, J., Padovani, R. and Vano, E.
Title: A summary of recommendations for occupational radiation protection in interventional cardiology
Journal: Catheter Cardiovasc Interv
Short Title: A summary of 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)
Accession Number: 22718285
Occupational Exposure/*prevention & control
*Practice Guidelines as Topic
Radiation Injuries/etiology/*prevention & control
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 program; 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.