+- +-

+-User

Welcome, Guest.
Please login or register.
 
 
 
Forgot your password?

+-Stats ezBlock

Members
Total Members: 46
Latest: Tony Ryan
New This Month: 0
New This Week: 0
New Today: 0
Stats
Total Posts: 12615
Total Topics: 255
Most Online Today: 2
Most Online Ever: 137
(April 21, 2019, 04:54:01 am)
Users Online
Members: 0
Guests: 2
Total: 2

Author Topic: Non-routine News  (Read 5949 times)

0 Members and 0 Guests are viewing this topic.

AGelbert

  • Administrator
  • Hero Member
  • *****
  • Posts: 27067
  • Location: Colchester, Vermont
    • Renwable Revolution
Re: Non-routine News
« Reply #60 on: May 31, 2015, 12:27:00 am »
Invisible Impact: The Risk of Ionizing Radiation on Cath Lab Staff
https://www.youtube.com/watch?v=rXgt0bF3GJM&feature=player_embedded
Surgeons that routinely use fluoroscopy in vascular procedures and cardiac device implantation are suffering the effects of too much exposure to ionizing radiation.  :(

Quote
 
Europace. 2014 Jul;16(7):946-64. doi: 10.1093/europace/eut409. Epub 2014 May 2.

Practical ways to reduce radiation dose for patients and staff during device implantations and electrophysiological procedures.


Heidbuchel H1, Wittkampf FH2, Vano E3, Ernst S4, Schilling R5, Picano E6, Mont L7; Reviewers:, Jais P8, de Bono J9, Piorkowski C10, Saad E11, Femenia F5; European Heart Rhythm Association.

Author information

Abstract


Despite the advent of non-fluoroscopic technology, fluoroscopy remains the cornerstone of imaging in most interventional electrophysiological procedures, from diagnostic studies over ablation interventions to device implantation. Moreover, many patients receive additional X-ray imaging, such as cardiac computed tomography and others.

More and more complex procedures have the risk to increase the radiation exposure, both for the patients and the operators. The professional lifetime attributable excess cancer risk may be around 1 in 100 for the operators, the same as for a patient undergoing repetitive complex procedures. Moreover, recent reports have also hinted at an excess risk of brain tumours among interventional cardiologists.

Apart from evaluating the need for and justifying the use of radiation to assist their procedures, physicians have to continuously explore ways to reduce the radiation exposure. After an introduction on how to quantify the radiation exposure and defining its current magnitude in electrophysiology compared with the other sources of radiation, this position paper wants to offer some very practical advice on how to reduce exposure to patients and staff. The text describes how customization of the X-ray system, workflow adaptations, and shielding measures can be implemented in the cath lab. The potential and the pitfalls of different non-fluoroscopic guiding technologies are discussed.

Finally, we suggest further improvements that can be implemented by both the physicians and the industry in the future. We are confident that these suggestions are able to reduce patient and operator exposure by more than an order of magnitude, and therefore think that these recommendations are worth reading and implementing by any electrophysiological operator in the field.   

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.


KEYWORDS:

Exposure; Interventional electrophysiology; Radiation; Radioprotection; Risk

http://www.ncbi.nlm.nih.gov/pubmed/24792380
El viento sopla de donde quiere, y oyes su sonido; mas ni sabes de dónde viene, ni a dónde va;
así es todo aquel que es nacido del Espíritu. Juan 2:8

 

+-Recent Topics

Corruption in Government by AGelbert
July 20, 2019, 10:55:19 pm

Creeping Police State by AGelbert
July 20, 2019, 03:32:33 pm

Money by AGelbert
July 20, 2019, 01:12:18 pm

Doomstead Diner Daily by Surly1
July 20, 2019, 05:56:56 am

Wind Power by AGelbert
July 19, 2019, 06:02:14 pm

Geothermal Power by AGelbert
July 19, 2019, 05:40:18 pm

The Fabulous Plant Kingdom by AGelbert
July 19, 2019, 04:08:02 pm

Future Earth by AGelbert
July 19, 2019, 01:44:03 pm

Non-routine News by AGelbert
July 19, 2019, 12:50:14 pm

Carbon Neutral Buildings by AGelbert
July 19, 2019, 12:32:32 am