Radiation injury is potentially a severe consequence of fluoroscopically guided complex interventions

Health Physics

Volumn 95, Issue 5, 2008, Pages 645-649

  Wagner, Louis K ^a  

^a UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

Author keywords

Fluoroscopy; Health effects; Medical; National Council on Radiation Protection and Measurements; Radiation

Indexed keywords

CONFERENCE PAPER; FLUOROSCOPY; FOOD AND DRUG ADMINISTRATION; HUMAN; LICENCE; MEDICAL EDUCATION; MEDICAL SOCIETY; MEDICAL SPECIALIST; PHYSICIAN; PRIORITY JOURNAL; RADIATION DOSE; RADIATION INJURY; RADIATION RESPONSE; ARTICLE; LEGAL ASPECT; LICENSING; MEDICOLEGAL ASPECT; METHODOLOGY; RADIATION MONITORING; STANDARD; UNITED STATES;

FLUOROSCOPY; HUMANS; LEGISLATION, MEDICAL; LICENSURE, MEDICAL; RADIATION INJURIES; RADIATION MONITORING; UNITED STATES; UNITED STATES FOOD AND DRUG ADMINISTRATION;

EID: 56149119292     PISSN: 00179078     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.HP.0000334210.85567.7b     Document Type: Conference Paper

References (23)

1. Code of the Federal Regulations, Title 21, Chapter I, Subchapter J, Part 1020.32.k. 4-6. Washington, DC: U.S. Government Printing Office; Revised 1 April 2006.
2. Department of Health and Human Services/United States Food and Drug Administration. Safe Medical Devices Act of 1990, Public Law 101-629. 1990. Available at: http:// www.hhs.gov/asl/testify/t970430a.html (archived page). Accessed 2 July 2008.
3. European Commission. Radiation protection 116: Guidelines on education and training in radiation protection for medical exposures. Luxembourg: Office for Official Publications of the European Commission; 2000.
4. Giles ER, Murphy PH. Measuring skin dose with radiochromic dosimetry film in the cardiac catheterization laboratory. Health Phys 82:875; 2002.
5. Gironet N, Jan V, Machet L, Lorette G, Vaillant L. Radiodermite chronique post catheterisme cardiaque: role favorisant du ciprofibrate (Lipanor)? Ann Dermatol Venereol 125: 598-600; 1998 (in French). (Pubitemid 28440636)
6. Granel F, Barbaud A, Gillet-Terver MN, Reichert S, Weber M, Danchin N, Schmutz JL. Radiodermites chroniques apres catheterisme interventionnel cardiaque: quatre observations. Ann Dermatol Venereol 125(6 -7):405- 407; 1998 (in French). (Pubitemid 28272459)
7. Hirshfeld JW, Balter S, Brinker JA, Kern MJ, Klein LW, Lindsay BD, Tommaso CL, Tracy CM, Wagner LK. ACCF/ AHA/HRS/SCAI clinical competence statement on optimizing patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology/American Heart Association/ American College of Physicians Task Force on Clinical Competence (ACCF/AHA/HRS/SCAI Writing Committee to Develop a Clinical Competence Statement on Fluoroscopy). J Am Coll Cardiol 44:2259 -2282; 2004. (Pubitemid 39576054)
8. International Electrotechnical Commission. International standard 60601-2-43. Part 2-43: Particular requirements for the safety of x-ray equipment for interventional procedures. Geneva: IEC; 2000.
9. Joint Commission on Accreditation of Healthcare Facilities. Sentinel event policy and procedures. Oakbrook Terrace, IL: The Joint Commission; October 2006. Available at: http:// www.jointcommission.org/SentinelEvents/ PolicyandProcedures/. Accessed 2 July 2008.
10. Koenig TR, Wolff D, Mettler FA, Wagner LK. Skin injuries from fluoroscopically guided procedures: Part 1, characteristics of radiation injury. Am J Roentgenol 177:3-11; 2001a. (Pubitemid 32578043)
11. Koenig TR, Mettler FA, Wagner LK. Skin injuries from fluoroscopically guided procedures: Part 2, review of 73 cases and recommendations for minimizing dose delivered to the patient. Am J Roentgenol 177:13-20; 2001b.
12. Mettler FA Jr, Koenig TR, Wagner LK, Kelsey CA. Radiation injuries after fluoroscopic procedures. Semin Ultrasound CT MR 23:428-442; 2002.
13. Miller DL, Balter S, Wagner LK, Cardella J, Clark TWI, Neithamer CD Jr, Schwartzberg MS, Swan TL, Towbin RB, Rholl KS, Sacks D. Quality improvement guidelines for recording patient radiation dose in the medical record. J Vasc Interv Radiol 15:423- 429; 2004. (Pubitemid 38590865)
14. Nuclear Material Safety and Safeguards Licensee Newsletter (online). Nuclear material safety and safeguards. Washington, DC: Office of Nuclear Material Safety and Safeguards; Issues for 2000-2006. Available at: http://www.nrc.gov/ about-nrc/organization/nmssfuncdesc.html. Accessed 2 July 2008.
15. Poletti JL. Radiation injury to skin following a cardiac interventional procedure. Australas Radiol 41:82- 83; 1997.
16. Soga F. A case of radiation ulcer following transcatheter arterial embolization. Japanese J Clinl Dermatol 58:908- 910; 2004.
17. Sovik E, Klow N-E, Hellesnes J, Lykke J. Radiation-induced skin injury after percutaneous transluminal coronary angioplasty. Acta Radiologica 37:305-306; 1996. (Pubitemid 126709492)
18. U.S. Food and Drug Administration. Public Health Advisory: avoidance of serious x-ray-induced skin injuries to patients during fluoroscopically-guided procedures. Rockville, MD: Center for Devices and Radiological Health; 1994.
19. Vano E, Arranz L, Sastre JM, Moro C, Ledo A, Garate MT, Minguez I. Dosimetric and radiation protection considerations based on some cases of patient skin injuries in interventional cardiology. Brit J Radiol 71:510 -516; 1998. (Pubitemid 28243072)
20. Vlietstra RE, Wagner LK, Koenig T, Mettler F. Radiation burns as a severe complication of fluoroscopically guided cardiological interventions. J Interven Cardiol 17:131-142; 2004. (Pubitemid 38830043)
21. Wagner LK. You do not know what you are doing unless you know what you are doing. Radiol 225:327-328; 2002.
22. Watson RM. Radiation exposure: clueless in the cath lab, or sayonara ALARA. Cathet Cardiovasc Diagn 42:126 -127; 1997.
23. Wolff D, Heinrich KW. Strahlenschaden der Haut nach Herzkatheterdiagnostik und-therapie 2 Kasuistiken. Hautnah derm 5:450-452; 1993 (in German).