Document Detail


Sustainability in the cardiac cath lab.
MedLine Citation:
PMID:  17033729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Use of radiation for medical examinations and test is the largest man-made source of radiation exposure. Interventional procedures are only 2% of all radiological procedures, but contribute to about 20% of the total collective dose per head per year. On average, a left ventriculography and coronary angiography corresponds to a radiation exposure for the patient of about 300, a coronary stent to 1,000, a peripheral artery intervention to 1,500 to 2,500, and a cardiac radiofrequency ablation to 900-1,500 chest x-rays. Invasive cardiology procedures increased tenfold in the last ten years and growth in the field has been accompanied by concern for the safety of the staff. Interventional cardiologists have an exposure per-head per year two- to three times higher than that of radiologists, with an annual exposure equivalent to around 250 chest x-rays per head. A reduction of occupational doses by a factor of ten can be achieved simply by and intensive training program. The awareness of radiation effects may be suboptimal in the medical community. It is recommended by professional guidelines and reinforced by the European law that the responsibility of all physicians is to minimize the radiation injury hazard to their patients, to their professional staff and to themselves.
Authors:
Eugenio Picano; Gennaro Santoro; Eliseo Vano
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Publication Detail:
Type:  Comment; Editorial     Date:  2006-10-11
Journal Detail:
Title:  The international journal of cardiovascular imaging     Volume:  23     ISSN:  1569-5794     ISO Abbreviation:  Int J Cardiovasc Imaging     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-14     Completed Date:  2007-05-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100969716     Medline TA:  Int J Cardiovasc Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  143-7     Citation Subset:  IM    
Affiliation:
CNR, Institute of Clinical Physiology, Via Moruzzi, 1, Pisa 56124, Italy. picano@ifc.cnr.it
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MeSH Terms
Descriptor/Qualifier:
Cardiology / manpower,  methods*
Coronary Angiography / adverse effects
Fluoroscopy / adverse effects
Guideline Adherence
Health Knowledge, Attitudes, Practice
Heart Catheterization / adverse effects
Humans
Medical Staff, Hospital*
Occupational Exposure*
Practice Guidelines as Topic
Radiation Dosage
Radiation Monitoring
Radiation Protection / methods
Radiography, Interventional / adverse effects*
Radionuclide Ventriculography / adverse effects
Ultrasonography, Interventional*
Comments/Corrections
Comment On:
Int J Cardiovasc Imaging. 2007 Apr;23(2):139-42   [PMID:  16821119 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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