Radiation dose to nurses, cardiologists, and patients during coronary angiography: a comparison of femoral and radial access
| Autor: | Eva Malacova, Jamie Trapp, Davide Fontanarosa, Kelly Wilson-Stewart |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Coronary Angiography Radiation Dosage Ionizing radiation Kerma Cardiologists Percutaneous Coronary Intervention medicine.artery medicine Humans Fluoroscopy Radial artery Advanced and Specialized Nursing medicine.diagnostic_test business.industry Percutaneous coronary intervention Femoral Artery Medical–Surgical Nursing Dose area product Radial Artery Angiography Conventional PCI Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardiovascular Nursing. 21:325-331 |
| ISSN: | 1873-1953 1474-5151 |
| DOI: | 10.1093/eurjcn/zvab096 |
| Popis: | Background Exposure to radiation during fluoroscopically guided cardiac procedures is a cause for concern for both the patient and staff. Aims This study sought to compare the occupational and patient radiation dose during femoral and radially accessed invasive coronary angiography (CA). Methods and results Occupational dose (µSv) was measured at the left temple of the cardiologist (n = 17), scrub (n = 27), and circulator nurse (n = 27) during 761 femoral and 671 radially accessed diagnostic coronary angiograms and percutaneous coronary intervention (PCI) procedures. Patient dose parameters of dose area product (DAP) (Gy.cm2) and air kerma (AK) (Gy) were also measured. Coronary angiography performed via the radial artery is associated with greater mean dose to the cardiologist, with the exception of procedures including only PCI. Results demonstrated that scrub nurses are exposed to higher mean doses than the cardiologist when using femoral access and similar doses during radial cases. Both AK and DAP were associated with a higher average dose for femoral PCI than radial, with DAP being significantly higher. Conclusions Awareness of factors that increase the dose to staff and patients is vital to inform and improve practice. This study has demonstrated that access route during diagnostic CA and PCI influences both patient and staff dose. Radiation dose to in-room staff other than the fluoroscopic operator should be a focus of future research. In addition, all staff present during X-ray guided procedures should be provided with radiation education and adopt dose minimization strategies to reduce occupational exposures. |
| Databáze: | OpenAIRE |
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