Interventional Cardiology

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Efstathios Efstathopoulos - One of the best experts on this subject based on the ideXlab platform.

  • Patient Radiation Doses in Interventional Cardiology Procedures
    Current Cardiology Reviews, 2009
    Co-Authors: Ioannis Pantos, Georgios Patatoukas, D Katritsis, Efstathios Efstathopoulos
    Abstract:

    Interventional Cardiology procedures result in substantial patient radiation doses due to prolonged fluoroscopy time and radiographic exposure. The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation. Patient radiation dose in these procedures can be assessed either by measurements on a series of patients in real clinical practice or measurements using patient-equivalent phantoms. In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature. Published results indicate that patient radiation doses vary widely among the different Interventional Cardiology procedures but also among equivalent studies. Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated. Nevertheless, Interventional Cardiology procedures can subject patients to considerable radiation doses. Efforts to minimize patient exposure should always be undertaken.

Eliseo Vano - One of the best experts on this subject based on the ideXlab platform.

  • Recommendations for occupational radiation protection in Interventional Cardiology.
    Catheterization and Cardiovascular Interventions, 2013
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.© 2013 Wiley Periodicals, Inc.

  • A summary of recommendations for occupational radiation protection in Interventional Cardiology
    Catheterization and Cardiovascular Interventions, 2012
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.

Renato Padovani - One of the best experts on this subject based on the ideXlab platform.

  • Recommendations for occupational radiation protection in Interventional Cardiology.
    Catheterization and Cardiovascular Interventions, 2013
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.© 2013 Wiley Periodicals, Inc.

  • A summary of recommendations for occupational radiation protection in Interventional Cardiology
    Catheterization and Cardiovascular Interventions, 2012
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.

  • Staff dosimetry in Interventional Cardiology.
    Radiation Protection Dosimetry, 2001
    Co-Authors: Renato Padovani, C.a. Rodella
    Abstract:

    In Interventional Cardiology (IC) staff can be exposed to high dose levels due to the long fluoroscopy procedures performed Staff dosimetry can yield information on the optimisation level of radiation protection, which is influenced by the equipment performance, auxiliary protection devices, training in radiation protection and procedure complexity. Staff exposure data assessed in haemodynamic laboratories of four hospitals in Spain, Greece and Italy participating in the DIMOND concerted action are analysed and compared with data in the literature.

Ioannis Pantos - One of the best experts on this subject based on the ideXlab platform.

  • Patient Radiation Doses in Interventional Cardiology Procedures
    Current Cardiology Reviews, 2009
    Co-Authors: Ioannis Pantos, Georgios Patatoukas, D Katritsis, Efstathios Efstathopoulos
    Abstract:

    Interventional Cardiology procedures result in substantial patient radiation doses due to prolonged fluoroscopy time and radiographic exposure. The procedures that are most frequently performed are coronary angiography, percutaneous coronary interventions, diagnostic electrophysiology studies and radiofrequency catheter ablation. Patient radiation dose in these procedures can be assessed either by measurements on a series of patients in real clinical practice or measurements using patient-equivalent phantoms. In this article we review the derived doses at non-pediatric patients from 72 relevant studies published during the last 22 years in international scientific literature. Published results indicate that patient radiation doses vary widely among the different Interventional Cardiology procedures but also among equivalent studies. Discrepancies of the derived results are patient-, procedure-, physician-, and fluoroscopic equipmentrelated. Nevertheless, Interventional Cardiology procedures can subject patients to considerable radiation doses. Efforts to minimize patient exposure should always be undertaken.

Ariel Durán - One of the best experts on this subject based on the ideXlab platform.

  • Recommendations for occupational radiation protection in Interventional Cardiology.
    Catheterization and Cardiovascular Interventions, 2013
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.© 2013 Wiley Periodicals, Inc.

  • A summary of recommendations for occupational radiation protection in Interventional Cardiology
    Catheterization and Cardiovascular Interventions, 2012
    Co-Authors: Ariel Durán, Sim Kui Hian, Donald L. Miller, John Le Heron, Renato Padovani, Eliseo Vano
    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.