Radioprotection applyed at assistencial routine in cardiac catheterization laboratories
DOI:
https://doi.org/10.15392/bjrs.v7i1A.327Keywords:
cathlab, interventional radiology, radioprotection at cathlabAbstract
Our goal was evaluate if cardiologists and their team are compromising with radiation protection. This survey intends to support a study about eyes lens opacity, also realized at SOLACI/2016-RJ-Brazil.
An questionary about work conditions in cathlab, individual and colletive radioprotection, was applied for 127 professionals, being 95 cardiologists from several regions of Brazil, by means of personal interview. Among the responses, 38% said performed 50 procedures mensally while 43.7% between 50 and 100. Among them, 33.9% perform catheterims (CAT) and percutaneous coronary intervention (PCI), and 37% CAT, Ventriculography and Coronary Artery Bypass Graft. Around 70% of professionals reported that they have been working for more than 10 years and most have answered that they routinely use protective tools such as lead apron and thyroid shield. Cardiologists answered that they did not routinely wear lead glasses (46%) and a suspended ceiling shield (33%). In general, they justified that the glasses do not fit perfectly on face. Around 27.6% answered that the radiologic equipment don’t have protective side shields. We verify that 39.4% have never received a formal training in radioprotection. We estimated that 63.8% wear dosimeters over the apron at chest level for personal doses control. The professionals reported that they work in public and private institutions and 28.6% reported working in more than two services. About 52.8% associate the use of lead aprons with acquired ergonomic diseases. We conclude that strategies should be established to reinforce radiological protection practice and to guarantee better protection conditions for Cathlab professionals.
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References
International Atomic Energy Agency. Patient Dose Optimization in fluoroscopically Guided Interventional Procedures: final report of a coordinated research project. IAEA-TECDOC-1641. Vienna, 2010.
ICRP. Education and Training in Radiological Protection for Diagnostic and Interventional Procedures. International Commission on Radiological Protection. ICRP publication 113. Ann. ICRP 39 (5), 2009.
ICRP. Statement on Tissue Reactions. International Commission on Radiological Protection. ICRP publication 111, 2011. Ref 4825-3093-1464. Disponível em: http://www.icrp.org/docs/icrp%20statement%20on%20tissue%20reactions.pdf. Acesso em 29 de janeiro de 2017.
Vañó, E., Kleiman, N.J., Duran, A., Romano-Miller, M., Rehani, M.M. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. J Vasc Interv Radiol. 24, 197-204, 2013.
Vano E, Miller D.L., Dauer, L. Implications in medical imaging of the new ICRP threshold for tissue reactions. Ann ICRP, 44, 118-28, 2015. Doi: 10.1177/0146645314562322.
Working Group on Interventional Cardiology. Information System on Occupational Exposure in Medicine, Industry and Research (ISEMIR). Report on the pilot survey on obtaining occupational exposure data in interventional cardiology. 2013.
Comissão Nacional de Energia Nuclear. Diretrizes Básicas de Proteção Radiológica. CNEN-NN-3.01. Resolução 164. 2014.
IAEA.10 Pearls: Radiation Protection of staff in fluoroscopy. https://rpop.iaea.org/RPOP/RPoP/Content/InformationFor/HealthProfessionals/6_Other ClinicalSpecialities/radiation-cataract/Radiation-and_cataract.htm#DA.
ICRP.Radiological protection in cardiology. ICRP Publication 120. Ann. ICRP 42(1), 2013.
NCRP. Radiation dose management for fluoroscopically guided interventional medical procedures. NCRP Report No. 168. Bethesda, MD: National Council on Radiation Protection and Measurements; 2010.
Vano, E., Gonzales L., Fernadez J.M., Alfonso, F., Macaya C. Occupational radiation doses in interventional cardiology: a 15-year follow-up. Br J Radiol, 79:383-388, 2006.
Sánchez, R.M., Vañó, E., Fernández, J.M and Ginjaume, M. Benefits of Personal Real Time Dosemeters in Fluoroscopy Guided Practices. IAEA-CN-223: International Conference on Occupational Radiation Protection. Book of contributed papers, Vienna 1-5 December, pp. 459 (2014).
IAEA. Radiation Protection of Patients (RPOP) [homepage on the Internet]. Vienna: International Atomic Energy Agency; c2013 [cited 2016 Jun 30]. https://rpop.iaea.org/RPoP/RPoP/Content/index.htm.
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