Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study
Samo za registrovane korisnike
2018
Autori
Domienik-Andrzejewska, JoannaCiraj-Bjelac, Olivera
Askounis, Panagiotis
Covens, Peter
Dragusin, Octavian
Jacob, Sophie
Farah, Jad
Gianicolo, Emilio
Padovani, Renato
Teles, Pedro
Widmark, Anders
Struelens, Lara
Članak u časopisu (Objavljena verzija)
,
© 2018 IOP Publishing Ltd
Metapodaci
Prikaz svih podataka o dokumentuApstrakt
This paper investigates over five decades of work practices in interventional cardiology, with an emphasis on radiation protection. The analysis is based on data from more than 400 cardiologists from various European countries recruited for a EURALOC study and collected in the period from 2014 to 2016. Information on the types of procedures performed and their annual mean number, fluoroscopy time, access site choice, x-ray units and radiation protection means used was collected using an occupational questionnaire. Based on the specific European data, changes in each parameter have been analysed over decades, while country-specific data analysis has allowed us to determine the differences in local practices. In particular, based on the collected data, the typical workload of a European cardiologist working in a haemodynamic room and an electrophysiology room was specified for various types of procedures. The results showed that when working in a haemodynamic room, a transparent ceiling-...suspended lead shield or lead glasses are necessary in order to remain below the recommended eye lens dose limit of 20 mSv. Moreover, the analysis revealed that new, more complex cardiac procedures such as chronic total occlusion, valvuloplasty and pulmonary vein isolation for atrial fibrillation ablation might contribute substantially to annual doses, although they are relatively rarely performed. The results revealed that considerable progress has been made in the use of radiation protection tools. While their use in electrophysiology procedures is not generic, the situation in haemodynamic procedures is rather encouraging, as ceiling-suspended shields are used in 90% of cases, while the combination of ceiling shield and lead glasses is noted in more than 40% of the procedures. However, we find that still 7% of haemodynamic procedures are performed without any radiation protection tools.
Ključne reči:
access routes / fluoroscopy / interventional cardiology / radiation protection / work practice of interventional cardiologistsIzvor:
Journal of Radiological Protection, 2018, 38, 3, 934-950
DOI: 10.1088/1361-6498/aac64b
ISSN: 0952-4746; 1361-6498
PubMed: 29780037
WoS: 000435111400002
Scopus: 2-s2.0-85052014075
URI
http://stacks.iop.org/0952-4746/38/i=3/a=934?key=crossref.841f3416432180a6c59d9cdaf3af811fhttps://vinar.vin.bg.ac.rs/handle/123456789/7775
Kolekcije
Institucija/grupa
VinčaTY - JOUR AU - Domienik-Andrzejewska, Joanna AU - Ciraj-Bjelac, Olivera AU - Askounis, Panagiotis AU - Covens, Peter AU - Dragusin, Octavian AU - Jacob, Sophie AU - Farah, Jad AU - Gianicolo, Emilio AU - Padovani, Renato AU - Teles, Pedro AU - Widmark, Anders AU - Struelens, Lara PY - 2018 UR - http://stacks.iop.org/0952-4746/38/i=3/a=934?key=crossref.841f3416432180a6c59d9cdaf3af811f UR - https://vinar.vin.bg.ac.rs/handle/123456789/7775 AB - This paper investigates over five decades of work practices in interventional cardiology, with an emphasis on radiation protection. The analysis is based on data from more than 400 cardiologists from various European countries recruited for a EURALOC study and collected in the period from 2014 to 2016. Information on the types of procedures performed and their annual mean number, fluoroscopy time, access site choice, x-ray units and radiation protection means used was collected using an occupational questionnaire. Based on the specific European data, changes in each parameter have been analysed over decades, while country-specific data analysis has allowed us to determine the differences in local practices. In particular, based on the collected data, the typical workload of a European cardiologist working in a haemodynamic room and an electrophysiology room was specified for various types of procedures. The results showed that when working in a haemodynamic room, a transparent ceiling-suspended lead shield or lead glasses are necessary in order to remain below the recommended eye lens dose limit of 20 mSv. Moreover, the analysis revealed that new, more complex cardiac procedures such as chronic total occlusion, valvuloplasty and pulmonary vein isolation for atrial fibrillation ablation might contribute substantially to annual doses, although they are relatively rarely performed. The results revealed that considerable progress has been made in the use of radiation protection tools. While their use in electrophysiology procedures is not generic, the situation in haemodynamic procedures is rather encouraging, as ceiling-suspended shields are used in 90% of cases, while the combination of ceiling shield and lead glasses is noted in more than 40% of the procedures. However, we find that still 7% of haemodynamic procedures are performed without any radiation protection tools. T2 - Journal of Radiological Protection T1 - Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study VL - 38 IS - 3 SP - 934 EP - 950 DO - 10.1088/1361-6498/aac64b ER -
@article{ author = "Domienik-Andrzejewska, Joanna and Ciraj-Bjelac, Olivera and Askounis, Panagiotis and Covens, Peter and Dragusin, Octavian and Jacob, Sophie and Farah, Jad and Gianicolo, Emilio and Padovani, Renato and Teles, Pedro and Widmark, Anders and Struelens, Lara", year = "2018", abstract = "This paper investigates over five decades of work practices in interventional cardiology, with an emphasis on radiation protection. The analysis is based on data from more than 400 cardiologists from various European countries recruited for a EURALOC study and collected in the period from 2014 to 2016. Information on the types of procedures performed and their annual mean number, fluoroscopy time, access site choice, x-ray units and radiation protection means used was collected using an occupational questionnaire. Based on the specific European data, changes in each parameter have been analysed over decades, while country-specific data analysis has allowed us to determine the differences in local practices. In particular, based on the collected data, the typical workload of a European cardiologist working in a haemodynamic room and an electrophysiology room was specified for various types of procedures. The results showed that when working in a haemodynamic room, a transparent ceiling-suspended lead shield or lead glasses are necessary in order to remain below the recommended eye lens dose limit of 20 mSv. Moreover, the analysis revealed that new, more complex cardiac procedures such as chronic total occlusion, valvuloplasty and pulmonary vein isolation for atrial fibrillation ablation might contribute substantially to annual doses, although they are relatively rarely performed. The results revealed that considerable progress has been made in the use of radiation protection tools. While their use in electrophysiology procedures is not generic, the situation in haemodynamic procedures is rather encouraging, as ceiling-suspended shields are used in 90% of cases, while the combination of ceiling shield and lead glasses is noted in more than 40% of the procedures. However, we find that still 7% of haemodynamic procedures are performed without any radiation protection tools.", journal = "Journal of Radiological Protection", title = "Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study", volume = "38", number = "3", pages = "934-950", doi = "10.1088/1361-6498/aac64b" }
Domienik-Andrzejewska, J., Ciraj-Bjelac, O., Askounis, P., Covens, P., Dragusin, O., Jacob, S., Farah, J., Gianicolo, E., Padovani, R., Teles, P., Widmark, A.,& Struelens, L.. (2018). Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study. in Journal of Radiological Protection, 38(3), 934-950. https://doi.org/10.1088/1361-6498/aac64b
Domienik-Andrzejewska J, Ciraj-Bjelac O, Askounis P, Covens P, Dragusin O, Jacob S, Farah J, Gianicolo E, Padovani R, Teles P, Widmark A, Struelens L. Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study. in Journal of Radiological Protection. 2018;38(3):934-950. doi:10.1088/1361-6498/aac64b .
Domienik-Andrzejewska, Joanna, Ciraj-Bjelac, Olivera, Askounis, Panagiotis, Covens, Peter, Dragusin, Octavian, Jacob, Sophie, Farah, Jad, Gianicolo, Emilio, Padovani, Renato, Teles, Pedro, Widmark, Anders, Struelens, Lara, "Past and present work practices of European interventional cardiologists in the context of radiation protection of the eye lens—results of the EURALOC study" in Journal of Radiological Protection, 38, no. 3 (2018):934-950, https://doi.org/10.1088/1361-6498/aac64b . .