Academic Journal
Single-Center, Open-Label, Randomized Controlled Trial on the Reduction of Scattered Radiation Exposure to the Primary Operator in Radial, Femoral, and Pectoral Cath Lab Procedures Using a Radiation Protection Drape.
| Τίτλος: | Single-Center, Open-Label, Randomized Controlled Trial on the Reduction of Scattered Radiation Exposure to the Primary Operator in Radial, Femoral, and Pectoral Cath Lab Procedures Using a Radiation Protection Drape. |
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| Συγγραφείς: | Aithal SR; Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi., Singh Isser H, Farooq Z, Bansal S, Gupta P |
| Πηγή: | Health physics [Health Phys] 2026 Sep 01; Vol. 131 (3), pp. 201-209. Date of Electronic Publication: 2026 Feb 02. |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985093R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-5159 (Electronic) Linking ISSN: 00179078 NLM ISO Abbreviation: Health Phys Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2003->: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: New York. |
| Ιατρικοί όροι (MeSH): | Radiation Protection*/instrumentation , Radiation Protection*/methods , Occupational Exposure*/prevention & control , Occupational Exposure*/analysis , Radiation Exposure*/prevention & control , Radiation Exposure*/analysis , Scattering, Radiation*, Humans ; Radiation Dosage ; Male ; Radial Artery ; Female ; Femoral Artery ; Adult |
| Περίληψη: | Radiation exposure in the catheterization laboratory poses a significant occupational hazard for primary operators. This single-center, open-label, randomized controlled trial conducted at Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, evaluated scattered radiation exposure to the primary operator during procedures via radial, femoral, and pectoral vascular access sites and the effectiveness of radiation protection drapes in reducing this exposure. A total of 216 patients (72 in each vascular access group) were randomized using coin flipping to receive either standard radiation protection or additional shielding with a radiation protection drape. The primary operator's scattered radiation dose was assessed in comparison to the radiation emitted during the procedure, with normalization to procedural radiation parameters including air kerma (AK), dose area product (DAP), and cine-adjusted screen time (CAST). Pectoral access was associated with the highest operator exposure (96.75 µSv) compared to femoral (45.72 µSv) and radial (49.06 µSv) access, despite lower AK values. Radiation protection drapes significantly reduced operator exposure across all access sites, with radial access showing reductions of 51% (DAP), 48% (AK), and 53% (CAST); femoral access showing reductions of 82% (DAP), 74% (AK), and 63% (CAST); and pectoral access showing reductions of 62% (DAP), 49% (AK), and 52% (CAST), all statistically significant (P < 0.05). No adverse events were reported. The findings provide strong support for the routine use of radiation protection drapes to minimize primary operator radiation exposure during catheterization procedures, especially when using the pectoral access site. (Copyright © 2026 Health Physics Society.) |
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| Contributed Indexing: | Keywords: medical; occupational safety; radiation; radiation protection; shielding |
| Entry Date(s): | Date Created: 20260202 Date Completed: 20260731 Latest Revision: 20260828 |
| Update Code: | 20260828 |
| DOI: | 10.1097/HP.0000000000002100 |
| PMID: | 41627216 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1538-5159 |
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| DOI: | 10.1097/HP.0000000000002100 |