Effective Reduction of Radiation Exposure during Cardiac Catheterization

• Published in: Texas Heart Institute journal 2019-06, Vol.46 (3), p.167-171
• Main Authors: Gutiérrez-Barrios, Alejandro, Camacho-Galán, Hugo, Medina-Camacho, Francisco, Cañadas-Pruaño, Dolores, Jimenez-Moreno, Antonio, Calle-Perez, German, Vázquez-García, Rafael
• Format: Article
• Language: English
• Subjects: Aged; Cardiac Catheterization - methods; Clinical Investigation; Coronary Angiography - adverse effects; Female; Fluoroscopy - adverse effects; Follow-Up Studies; Humans; Incidence; Male; Middle Aged; Occupational Exposure - adverse effects; Radiation Dosage; Radiation Exposure - adverse effects; Radiation Exposure - prevention & control; Radiation Injuries - epidemiology; Radiation Injuries - prevention & control; Retrospective Studies; Risk Assessment - methods; Risk Factors; Spain - epidemiology
• ISSN: 0730-2347; 1526-6702
• DOI: 10.14503/thij-17-6548

Exposure to ionizing radiation during cardiac catheterization can have harmful consequences for patients and for the medical staff involved in the procedures. Minimizing radiation doses during the procedures is essential. We investigated whether fine-tuning the radiation protocol reduces radiation doses in the cardiac catheterization laboratory. In January 2016, we implemented a new protocol with reduced radiation doses in the Hospital de Jerez catheterization laboratory. We analyzed 170 consecutive coronary interventional procedures (85 of which were performed after the new protocol was implemented) and the personal dosimeters of the interventional cardiologists who performed the procedures. Overall, the low-radiation protocol reduced air kerma (dose of radiation) by 44.9% (95% CI, 18.4%-70.8%; =0.001). The dose-area product decreased by 61% (95% CI, 30.2%-90.1%;