Minimizing Radiation-Why Aren't We Down to Zero?
| Autor: | Alan Sugrue, Katherine Y. Le, Samuel J. Asirvatham, Patrick Dearani |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
safety
business.industry Mathematical analysis Zero (complex analysis) Research Review Augmented reality Virtual reality Radiation Ablation fluoroscopy radiation Physiology (medical) zero fluoroscopy Medicine virtual reality Expert Commentary Cardiology and Cardiovascular Medicine business laboratory |
| Zdroj: | The Journal of Innovations in Cardiac Rhythm Management |
| ISSN: | 2156-3977 |
| Popis: | Historically, the electrophysiology laboratory has relied heavily on the use of ionizing radiation in the form of fluoroscopy for a broad range of interventions and diagnostics. As the harmful effects of radiation have become increasingly recognized and procedural technologies have advanced, electrophysiologists have adopted new workflows. The purpose of this article is to review the available literature and experience in minimizing radiation in the modern electrophysiology laboratory. This review first covers general approaches to reducing fluoroscopy radiation in the electrophysiology suite, with concepts that apply across all procedure types. These include the reduction of infrared emission through fastidious fluoroscopy settings, new and proven solutions for radiation shielding, and methods of creating distance between the radiation source and the operator to reduce exposure. Following this discussion, we review specific task-based techniques for reducing radiation during special electrophysiologic procedures and workflows such as vascular access, coronary sinus lead placement, catheter manipulation, and periprocedural planning studies. |
| Databáze: | OpenAIRE |
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