Radiation safety in the catheterization laboratory: Current perspectives and practices

Rohan Menon, Aris Karatasakis, Siddharth Patel, Barbara A. Danek, Judit Karacsonyi, Bavana V. Rangan, Tayo Addo, Dharam Kumbhani, Samir Kapadia, Michael Luna, Ehtisham Mahmud, Charles Chambers, Subhash Banerjee, Emmanouil S. Brilakis

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

BACKGROUND: There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. METHODS: We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, interventional radiologists, and vascular surgeons. RESULTS: A total of 570 responses were received from various geographic locations, including the United States (77.9%), Asia (7.9%), Europe (6.8%), Canada (2.8%), and Mexico and Central America (2.1%). Most respondents (73%) were interventional cardiologists and 23% were electrophysiologists, with 14.4 ± 10.2 years in practice. Most respondents (75%) were not aware of their radiation dose during the past year and 21.2% had never attended a radiation safety course; 58.9% are "somewhat worried" and 31.5% are "very worried" about chronic radiation exposure. Back pain due to lead use was reported by 43.0% and radiation-related health complications including cataracts and malignancies were reported by 6.3%. Only 37.5% of respondents had an established radiation dose threshold for initiating patient follow-up. When comparing United States operators with the other respondents, the former were more likely to attend radiation safety courses (P<.001), wear dosimeters (P<.001), know their annual personal radiation exposure (P<.001), and have an established patient radiation dose threshold (P<.001). They were also more likely to use the fluoro store function, under-Table shields, leaded glasses, ceiling lead glass, and disposable radiation shields, and were more concerned about the adverse effects of radiation. CONCLUSIONS: Radiation safety is of concern to catheterization laboratory personnel, yet there is significant variability in radiation protection practices, highlighting several opportunities for standardization and improvement. radiation safety catheterization laboratory survey.

Original languageEnglish (US)
Pages (from-to)296-300
Number of pages5
JournalJournal of Invasive Cardiology
Volume30
Issue number8
StatePublished - Aug 2018

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Menon, R., Karatasakis, A., Patel, S., Danek, B. A., Karacsonyi, J., Rangan, B. V., Addo, T., Kumbhani, D., Kapadia, S., Luna, M., Mahmud, E., Chambers, C., Banerjee, S., & Brilakis, E. S. (2018). Radiation safety in the catheterization laboratory: Current perspectives and practices. Journal of Invasive Cardiology, 30(8), 296-300.