Comparison of radiation dose to operator between transradial and transfemoral coronary angiography with optimised radiation protection: A phantom study

Radiation Protection Dosimetry

Volumn 158, Issue 4, 2014, Pages 412-420

  Liu, Huiliang ^a   Jin, Zhigeng ^a   Jing, Limin ^a  

^a GENERAL HOSPITAL OF CHINESE PEOPLE'S ARMED POLICE FORCES   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOCARDIOGRAPHY; ARTICLE; COMPARATIVE STUDY; EQUIPMENT; FEMORAL ARTERY; FLUOROSCOPY; HEART CATHETERIZATION; HUMAN; IMAGE QUALITY; INTERVENTIONAL RADIOLOGY; METHODOLOGY; OCCUPATIONAL EXPOSURE; RADIAL ARTERY; RADIATION DOSE; RADIATION PROTECTION; RADIOGRAPHY; RADIOMETRY; X RAY;

CARDIAC CATHETERIZATION; CORONARY ANGIOGRAPHY; FEMORAL ARTERY; FLUOROSCOPY; HUMANS; OCCUPATIONAL EXPOSURE; PHANTOMS, IMAGING; RADIAL ARTERY; RADIATION DOSAGE; RADIATION PROTECTION; RADIOGRAPHY, INTERVENTIONAL; RADIOMETRY; X-RAYS;

EID: 84894863655     PISSN: 01448420     EISSN: 17423406     Source Type: Journal    
DOI: 10.1093/rpd/nct261     Document Type: Article

References (29)

1. Rao, S. V., Ou, F. S., Wang, T. Y., Roe, M. T., Brindis, R., Rumsfeld, J. S. and Peterson, E. D. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc. Interv. 1, 379-386 (2008).
2. Romagnoli, E. et al. Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) Study. J. Am. Coll. Cardiol. 60, 2481-2489 (2012).
3. Jolly, S. S. et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 377, 1409-1420 (2011).
4. Hibbert, B. et al. Transradial versus transfemoral artery approach for coronary angiography and percutaneous coronary intervention in the extremely obese. JACC Cardiovasc. Interv. 5, 819-826 (2012).
5. Rao, S. V., Bernat, I. and Bertrand, O. F. Remaining challenges and opportunities for improvement in percutaneous transradial coronary procedures. Eur. Heart J. 33, 2521-2526 (2012).
6. Brasselet, C., Blanpain, T., Tassan-Mangina, S., Deschildre, A., Duval, S., Vitry, F., Gaillot-Petit, N., Clement, J. P. and Metz, D. Comparison of operator radiation exposure with optimized radiation protection devices during coronary angiograms and ad hoc percutaneous coronary interventions by radial and femoral routes. Eur. Heart J. 29, 63-70 (2008).
7. Lange, H. W. and von Boetticher, H. Randomized comparison of operator radiation exposure during coronary angiography and intervention by radial or femoral approach. Catheter. Cardiovasc. Interv. 67, 12-16 (2006).
8. Kim, K. P. and Miller, D. L. Minimising radiation exposure to physicians performing fluoroscopically guided cardiac catheterisation procedures: a review. Radiat. Prot. Dosim. 133, 227-233 (2009).
9. Kim, K. P., Miller, D. L., Balter, S., Kleinerman, R. A., Linet, M. S., Kwon, D. and Simon, S. L. Occupational radiation doses to operators performing cardiac catheterization procedures. Health Phys. 94, 211-227 (2008).
10. Politi, L., Biondi-Zoccai, G., Nocetti, L., Costi, T., Monopoli, D., Rossi, R., Sgura, F., Modena, M. G. and Sangiorgi, G. M. Reduction of scatter radiation during transradial percutaneous coronary angiography: a randomized trial using a lead-free radiation shield. Catheter. Cardiovasc. Interv. 79, 97-102 (2012).
11. Fetterly, K. A., Magnuson, D. J., Tannahill, G. M., Hindal, M. D. and Mathew, V. Effective use of radiation shields to minimize operator dose during invasive cardiology procedures. JACC Cardiovasc. Interv. 4, 1133-1139 (2011).
12. Hirshfeld, J. W. Jr. et al. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. Circulation 111, 511-532 (2005).
13. Carinou, E. et al. Recommendations to reduce extremity and eye lens doses in interventional radiology and cardiology. Radiat. Meas. 46, 1324-1329 (2011).
14. Bordy, J. et al. Guidelines for the Use of Active Personal Dosemeters in Interventional Radiology/Cardiology (2011). Available on www.oramed-fp7.eu/en/D52Guidelines2_ PDF.
15. Kuon, E., Gunther, M., Gefeller, O. and Dahm, J.B. Standardization of occupational dose to patient DAP enables reliable assessment of radiation-protection devices in invasive cardiology. Rofo 175, 1545-1550 (2003).
16. Lo, T. S., Ratib, K., Chong, A. Y., Bhatia, G., Gunning, M. and Nolan, J. Impact of access site selection and operator expertise on radiation exposure; a controlled prospective study. Am. Heart J. 164, 455-461 (2012).
17. Mann, J. T. III, Cubeddu, G. and Arrowood, M. Operator radiation exposure in ptca: comparison of radial and femoral approaches. J. Invasive Cardiol. 8(Suppl. D), 22D-25D (1996).
18. Lange, H. W. and von Boetticher, H. Reduction of operator radiation dose by a pelvic lead shield during cardiac catheterization by radial access: comparison with femoral access. JACC Cardiovasc. Interv. 5, 445-449 (2012).
19. Ertel, A., Nadelson, J., Shroff, A. R., Sweis, R., Ferrera, D. and Vidovich, M. I. Radiation dose reduction during radial cardiac catheterization: evaluation of a dedicated radial angiography absorption shielding drape. ISRN Cardiol. 2012, 1-5 (2012).
20. Goni, H., Papadopoulou, D., Yakoumakis, E., Stratigis, N., Benos, J., Siriopoulou, V., Makri, T. and Georgiou, E. Investigation of occupational radiation exposure during interventional cardiac catheterisations performed via radial artery. Radiat. Prot. Dosim. 117, 107-110 (2005).
21. Whitby, M. and Martin, C. J. A study of the distribution of dose across the hands of interventional radiologists and cardiologists. Br. J. Radiol. 78, 219-229 (2005).
22. Donadillea, L. et al. Staff eye lens and extremity exposure in interventional cardiology: Results of the ORAMED project. Radiat. Meas. 46, 1203-1209 (2011).
23. Marque, N., Jegou, A., Varenne, O., Salengro, E., Allouch, P., Margot, O. and Spaulding, C. Impact of an extension tube on operator radiation exposure during coronary procedures performed through the radial approach. Arch. Cardiovasc. Dis. 102, 749-754 (2009).
24. Martin, C. J. Personal dosimetry for interventional operators: when and how should monitoring be done? Br. J. Radiol. 84, 639-648 (2011).
25. Murphy, J. C., Darragh, K., Walsh, S. J. and Hanratty, C. G. Efficacy of the RADPAD protective drape during real world complex percutaneous coronary intervention procedures. Am. J. Cardiol. 108, 1408-1410 (2011).
26. Kuon, E., Schmitt, M. and Dahm, J. B. Significant reduction of radiation exposure to operator and staff during cardiac interventions by analysis of radiation leakage and improved lead shielding. Am. J. Cardiol. 89, 44-49 (2002).
27. Liu, H. L., Jin, Z. G., Yang, S. L., Luo, J. P., Ma, D. X., Liu, Y. and Han, W. Randomized study on the safety and efficacy of dual-axis rotational versus standard coronary angiography in. Chin. Med. J. (Engl). 125, 1016-1022 (2012).
28. Axelsson, B., Cederlund, T. and Svane, E. B. Evaluation of radiation exposure to personnel in cardiac angiography. Radiat. Prot. Dosim. 57, 433-436 (1995).
29. Stratis, A. I., Anthopoulos, P. L., Gavaliatsis, I. P., Ifantis, G. P., Salahas, A. I., Antonellis, I. P., Tavernarakis, A. G. and Molfetas, M. I. Patient dose in cardiac radiology. Hellenic J. Cardiol. 50, 17-25 (2009).