Literature DB >> 34524630

Impact of radiation to the eye of operators during endo-cardiovascular surgery and the importance of protection.

Junki Yokota1, Toru Kuratani2, Kazuo Shimamura1, Takayuki Shijo1, Kizuku Yamashita1, Toru Ide1, Ryota Matsumoto1, Shigeru Miyagawa1.   

Abstract

OBJECTIVE: To verify the amount of radiation exposure to the eye of operators during endocardiovascular surgery (ECVS) in hybrid operating room (HOR), which increases the risk of cataracts in surgeons.
METHODS: Fifty cases of ECVS (including 36 transcatheter aortic valve implantation and 14 thoracic endovascular repair) using the transfemoral approach performed from February 2020 to July 2020 were included. A measurement device was attached to the left side of the head of the operators and their assistants to measure the cumulative dose (CD) of intraoperative radiation exposure. The subjects were divided into the control group (Group C, n = 26), received conventional protection using the protective curtain in HOR and the protected group (Group R, n = 24), received conventional protection and protection sheet. The normalized CD by dose area product (CD/DAP) was evaluated.
RESULTS: The CD/DAP of the surgeons was significantly decreased in Group R, averaging at 5.97 μSV/Gy cm2 in Group C group and 4.40 μSV/Gy cm2 in Group R (p < 0.01). Moreover, CD/DAP of the assistant was significantly reduced in the Group R, with an average of 1.87 μSV/Gy cm2 in the Group C and 1.01 μSV/Gy cm2 in Group R (p < 0.01).
CONCLUSIONS: The radiation exposure to the surgeon's eye could be significantly reduced by protection sheet.
© 2021. The Japanese Association for Thoracic Surgery.

Entities:  

Keywords:  Endovascular surgery; Eye of operators; Radiation exposure; Radiation protection

Mesh:

Year:  2021        PMID: 34524630     DOI: 10.1007/s11748-021-01701-6

Source DB:  PubMed          Journal:  Gen Thorac Cardiovasc Surg        ISSN: 1863-6705


  9 in total

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Authors:  Bart D van Rooijen; Michiel W de Haan; Marco Das; Carsten W K P Arnoldussen; R de Graaf; Wim H van Zwam; Walter H Backes; Cécile R L P N Jeukens
Journal:  Cardiovasc Intervent Radiol       Date:  2013-11-02       Impact factor: 2.740

2.  Efficacy of the RADPAD Protection Drape in Reducing Operators' Radiation Exposure in the Catheterization Laboratory: A Sham-Controlled Randomized Trial.

Authors:  Wieneke Vlastra; Ronak Delewi; Krischan D Sjauw; Marcel A Beijk; Bimmer E Claessen; Geert J Streekstra; Robbert J Bekker; Juliette C van Hattum; Joanna J Wykrzykowska; Marije M Vis; Karel T Koch; Robbert J de Winter; Jan J Piek; José P S Henriques
Journal:  Circ Cardiovasc Interv       Date:  2017-11       Impact factor: 6.546

3.  Radioprotective lightweight caps in the interventional cardiology setting: a randomised controlled trial (PROTECT).

Authors:  Heiko Uthoff; Ramon Quesada; Jonathan S Roberts; Frederic Baumann; Melanie Schernthaner; Lynn Zaremski; Luv Hajirawala; Barry T Katzen; Daniel Staub; Andreas S Kreusch
Journal:  EuroIntervention       Date:  2015-05       Impact factor: 6.534

Review 4.  ICRP PUBLICATION 120: Radiological protection in cardiology.

Authors:  C Cousins; D L Miller; G Bernardi; M M Rehani; P Schofield; E Vañó; A J Einstein; B Geiger; P Heintz; R Padovani; K-H Sim
Journal:  Ann ICRP       Date:  2013-02

5.  Randomized Controlled Trial of Radiation Protection With a Patient Lead Shield and a Novel, Nonlead Surgical Cap for Operators Performing Coronary Angiography or Intervention.

Authors:  Ashraf Alazzoni; Chris L Gordon; Jaffer Syed; Madhu K Natarajan; Michael Rokoss; Jon-David Schwalm; Shamir R Mehta; Tej Sheth; Nicholas Valettas; James Velianou; Shaheen Pandie; Darar Al Khdair; Michael Tsang; Brandi Meeks; Kiersten Colbran; Ed Waller; Shun Fu Lee; Tamara Marsden; Sanjit S Jolly
Journal:  Circ Cardiovasc Interv       Date:  2015-08       Impact factor: 6.546

6.  Leaded eyeglasses substantially reduce radiation exposure of the surgeon's eyes during acquisition of typical fluoroscopic views of the hip and pelvis.

Authors:  Sean Burns; Raymond Thornton; Lawrence T Dauer; Brian Quinn; Daniel Miodownik; David J Hak
Journal:  J Bone Joint Surg Am       Date:  2013-07-17       Impact factor: 5.284

7.  Occupational exposure to ionizing radiation and lens opacity in interventional cardiologists.

Authors:  Joanna Domienik-Andrzejewska; Paweł Kałużny; Gabriela Piernik; Joanna Jurewicz
Journal:  Int J Occup Med Environ Health       Date:  2019-10-04       Impact factor: 1.843

8.  Eye Lens Dosimetry in Interventional Radiology: Assessment With Dedicated Hp(3) Dosimeters.

Authors:  Nassim-Albert Merrachi; Roxanne Bouchard-Bellavance; Pierre Perreault; Patrick Gilbert; Gilles Soulez; Louis Bouchard; Vincent L Oliva; Marie-France Giroux; Lysanne Normandeau; Eric Therasse
Journal:  Can Assoc Radiol J       Date:  2020-03-27       Impact factor: 2.248

9.  Risk of cataract in health care workers exposed to ionizing radiation: a systematic review.

Authors:  Elena Della Vecchia; Alberto Modenese; Tom Loney; Martina Muscatello; Marilia Silva Paulo; Giorgia Rossi; Fabriziomaria Gobba
Journal:  Med Lav       Date:  2020-08-31       Impact factor: 1.275

  9 in total

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