IMR Press / RCM / Volume 22 / Issue 3 / DOI: 10.31083/j.rcm2203095
Open Access Original Research
A preliminary study on the radiation dose reduction during catheterization procedures using simple partial patient shielding
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1 Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, 1987617862 Tehran, Iran
2 Resident of Cardiology in Tehran University of Medical Sciences (TUMS), Erfan General Hospital, 587668311 Tehran, Iran
3 Tobacco Prevention and Control Research Center (TPCRC), National Research Institute of Tuberculosis and Lung disease (NRITLD), Shahid Beheshti University of Medical Sciences, 1987617862 Tehran, Iran
4 Erfan General Hospital, 1587668311 Tehran, Iran
5 Firoozgar Clinical Research and Development Center, Iran University of Medical Sciences, 1314665611 Tehran, Iran
6 CareMore, Tucson, AZ 85701, USA
7 University of Arizona, Tucson and Phoenix, Tucson, AZ 85710, USA
Academic Editor: Peter A. McCullough
Rev. Cardiovasc. Med. 2021 , 22(3), 891–894; https://doi.org/10.31083/j.rcm2203095
Submitted: 14 March 2021 | Revised: 10 May 2021 | Accepted: 4 June 2021 | Published: 24 September 2021
Abstract

Reduction in X-ray exposure during cardiac catheterization is important to reduce radiation risks to operators and personnel. Reducing scattered radiation from the patient can achieve this goal. The goal of this study was to evaluate the reduction in radiation using simple partial shielding of patients undergoing cardiac catheterization. By putting a lead-based apron on the lower extremities of patients undergoing cardiac catheterization, we analyzed the reduction in total radiation dose with and without this shielding. One hundred and twelve patients were divided into two groups. In one group, the protective lead-based apron was put on the lower extremities of patients. Another group did not have any shielding. Total duration of angiography was 332 minutes and 45 seconds in the first group and 269 minutes and 10 seconds in the second group. The total radiation exposure was 33 μGy in the first group vs 606 μGy in the second group. Despite higher exposure time, total radiation dose was 22 times lower in the simple shielded group. Our simple method without any additional cost can significantly reduce radiation exposure in the cardiac catheterization laboratory.

Keywords
Angiography
Scattered irradiation
Apron shielding
Radiation injury
Radiation reduction
Figures
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