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 |
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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 |
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