Literature DB >> 23086783

The occupational effects of interventional cardiology: results from the WIN for Safety survey.

Gill Louise Buchanan1, Alaide Chieffo, Julinda Mehilli, Ghada W Mikhail, Fina Mauri, Patrizia Presbitero, Liliana Grinfeld, Anna Sonia Petronio, Kimberly A Skelding, Angela Hoye, Roxana Mehran, Marie-Claude Morice.   

Abstract

AIMS: Interventional cardiologists are amongst the most intensive radiation users within medicine. To assess the implications of this usage, the "Women In Innovation" Group (WIN) created a web-based survey called "WIN for Safety" distributed through the European Association of Percutaneous Coronary Intervention (EAPCI) to all catheterisation laboratory healthcare professionals, enquiring about radiation protection measures, compliance with monitoring, health (orthopaedic issues), radiation-associated problems (cataracts and cancer) and restrictions imposed upon the pregnant female. METHODS AND
RESULTS: In total, there were 615 participants: 72.8% were interventional cardiologists. Most (73.5%) of them were male and 63.3% were aged 31-50 years. A radiation collar badge was used by the majority (64.4%) and the most frequently utilised protective measure was the thyroid shield (87.2%). Potential illnesses related to radiation exposure included 19.5% orthopaedic problems (back/neck/hip pain), 5.5% varicose veins, 2.4% blood count problems and 2.0% cataracts. Notably, an association between orthopaedic problems and years of exposure was found (p=0.001). Overall, only 2.2% had ever been diagnosed with a cancer, with a trend for more females to be affected (4.4% vs. 1.8%; p=0.067). Finally, 62.1% have restrictions imposed upon the pregnant female in the working environment.
CONCLUSIONS: Awareness of radiation in the field of interventional cardiology is essential. The main risk is orthopaedic problems and measures should be taken for prevention. Cancer has not been demonstrated to be a direct consequence; however, we should remain vigilant and monitor individuals.

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Year:  2012        PMID: 23086783     DOI: 10.4244/EIJV8I6A103

Source DB:  PubMed          Journal:  EuroIntervention        ISSN: 1774-024X            Impact factor:   6.534


  11 in total

1.  Simulator training to minimize ionizing radiation exposure in the catheterization laboratory.

Authors:  Aric Katz; Avraham Shtub; Amir Solomonica; Adva Poliakov; Ariel Roguin
Journal:  Int J Cardiovasc Imaging       Date:  2016-11-05       Impact factor: 2.357

2.  Reduction of Fluoroscopy Time and Radiation Dosage During Catheter Ablation for Atrial Fibrillation.

Authors:  Kenichiro Yamagata; Bashar Aldhoon; Josef Kautzner
Journal:  Arrhythm Electrophysiol Rev       Date:  2016-08

Review 3.  Radiation exposure, the forgotten enemy: Toward implementation of national safety program.

Authors:  Tarek A N Ahmed; Salma Taha
Journal:  Egypt Heart J       Date:  2016-11-15

4.  Anti-X Apron Wearing and Musculoskeletal Problems Among Healthcare Workers: A Systematic Scoping Review.

Authors:  Maria Grazia Lourdes Monaco; Angela Carta; Tishad Tamhid; Stefano Porru
Journal:  Int J Environ Res Public Health       Date:  2020-08-13       Impact factor: 3.390

Review 5.  Into a Fluoroless Future: an Appraisal of Fluoroscopy-Free Techniques in Clinical Cardiac Electrophysiology.

Authors:  Christopher S Purtell; Ryan T Kipp; Lee L Eckhardt
Journal:  Curr Cardiol Rep       Date:  2021-03-02       Impact factor: 2.931

6.  Occupational Radiation Exposure and Validity of National Dosimetry Registry among Korean Interventional Radiologists.

Authors:  Seulki Ko; Kwang Pyo Kim; Sung Bum Cho; Ye Jin Bang; Yae Won Ha; Won Jin Lee
Journal:  Int J Environ Res Public Health       Date:  2021-04-15       Impact factor: 3.390

7.  Non-fluoroscopic radiofrequency catheter ablation of right- and left-sided ventricular arrhythmias.

Authors:  Grzegorz Karkowski; Marcin Kuniewicz; Edward Koźluk; Tomasz Chyży; Andrzej Ząbek; Michał Dusza; Jacek Lelakowski
Journal:  Postepy Kardiol Interwencyjnej       Date:  2020-10-02       Impact factor: 1.426

8.  Radiation dose in coronary angiography and intervention: initial results from the establishment of a multi-centre diagnostic reference level in Queensland public hospitals.

Authors:  James A Crowhurst; Mark Whitby; David Thiele; Toni Halligan; Adam Westerink; Suzanne Crown; Jillian Milne
Journal:  J Med Radiat Sci       Date:  2014-08-04

9.  The use of intracardiac echocardiography catheters in endocardial ablation of cardiac arrhythmia: Meta-analysis of efficiency, effectiveness, and safety outcomes.

Authors:  Masahiko Goya; Diana Frame; Larry Gache; Yoko Ichishima; Daiane Oliveira Tayar; Laura Goldstein; Stephanie Hsiao Yu Lee
Journal:  J Cardiovasc Electrophysiol       Date:  2020-01-30

10.  Gender Issues in Italian Catheterization Laboratories: The Gender-CATH Study.

Authors:  Chiara Bernelli; Enrico Cerrato; Rebecca Ortega; Emanuela Piccaluga; Elisabetta Ricottini; Alaide Chieffo; Giulia Masiero; Alessio Mattesini; Alessio La Manna; Giuseppe Musumeci; Giuseppe Tarantini; Roxana Mehran
Journal:  J Am Heart Assoc       Date:  2021-02-23       Impact factor: 5.501

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