Survey of the interventional cardiology procedures in Italy

Autor: Sergio Lo Meo, Stefania delle Canne, Paola Isoardi, Massimo Ursetta, S. Domenichelli, Francesco Campanella, Michele Marinaro, Gaetano Compagnone, Marco Bonelli, Roberta Curini
Rok vydání: 2012
Předmět:
Coronary angiography
Male
Percutaneous transluminal coronary angioplasty
Future studies
Coronary
interventional
Coronary Angiography
Radiography
Interventional

Pacemaker implantation
mddle aged
80 and over
Medicine
balloon
Angioplasty
Balloon
Coronary

Aged
80 and over

radiological and ultrasound technology
public health
angioplasty
General Medicine
Middle Aged
Italy
Female
Radiology
radiography
Adult
medicine.medical_specialty
Adolescent
Heart Diseases
Cardiology
Radiation Dosage
adolescent
adult
aged
aged
80 and over

coronary angiography
female
fluoroscopy
health surveys
heart diseases
humans
male
radiation protection
radiography
interventional

young adult
cardiology
occupational exposure
radiation dosage
radiation monitoring
radiation
radiology
nuclear medicine and imaging

public health
environmental and occupational health

nuclear medicine and imaging
Young Adult
Radiation Protection
Radiation Monitoring
Occupational Exposure
Humans
Radiology
Nuclear Medicine and imaging

Aged
Interventional cardiology
business.industry
environmental and occupational health
Radiation dose
Public Health
Environmental and Occupational Health

Health Surveys
radiology
Radiofrequency catheter ablation
Fluoroscopy
Emergency medicine
business
Zdroj: Radiation protection dosimetry. 150(3)
ISSN: 1742-3406
Popis: Interventional cardiology procedures are increasing because they offer many advantages to patients compared with other techniques: therefore the Italian National Institution for Insurance against Accidents at Work decided to start a survey for monitoring the state-of-the-art regarding the professionals involved in those procedures. The survey covered six cardiology and medical physics Italian departments. Each centre was asked to record 10 examinations for five types of procedures: coronary angiography (CA), electrophysiology studies (ES), pacemaker implantation (PI), percutaneous transluminal coronary angioplasty (PTCA) and radiofrequency catheter ablation (RA). For each examination all the centres were requested to fill in a questionnaire containing information regarding the operator performing the examination, the patient and the procedure. A total of 290 examinations were recorded: 103 CA, 14 ES, 68 PI, 79 PTCA and 26 RA. As occupational doses are strongly related to patient doses, both patients and operators radiation dose data are reported. Ratios of maximum to minimum mean patient doses across the hospitals surveyed were 2.0, 3.9, 7.0, 1.8 and 1.4 for CA, ES, PI, PTCA and RA, respectively. The calculated rounded mean dose-area product values across all participating hospitals were comparable with other values reported in the literature. In general, specific radiation protection tools were used by all operators performing different procedures in all hospitals. A major issue in this survey was the absence of information about correlation between staff and patient doses in a single procedure: future studies could be more aimed to prospective goals where occupational exposures per procedure are monitored specifically.
Databáze: OpenAIRE