Efficacy of the SEPARPROCATH® radiation drape to reduce radiation exposure during cardiac catheterization: A pilot comparative study.

Details

Serval ID
serval:BIB_E0EF95803284
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Efficacy of the SEPARPROCATH® radiation drape to reduce radiation exposure during cardiac catheterization: A pilot comparative study.
Journal
Catheterization and cardiovascular interventions
Author(s)
Patet C., Ryckx N., Arroyo D., Cook S., Goy J.J.
ISSN
1522-726X (Electronic)
ISSN-L
1522-1946
Publication state
Published
Issued date
01/09/2019
Peer-reviewed
Oui
Volume
94
Number
3
Pages
387-391
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
Interventional cardiologists are exposed to radiation-induced diseases, partly due to patient's scatter radiation.
We sought to compare the radiation exposure (RE) of the cardiac catheterization room staff using SEPARPROCATH®, a novel radio-protective drape versus standard shielding equipment.
This was a two-step prospective, randomized pilot trial: first, in experimental conditions using a phantom model, and second, during cardiac catheterization. Primary end-point was operator RE corresponding to the ratio between operator cumulative dose (CD) and dose area product (DAP). Secondary end-points were nurse RE, operator and nurse CD, DAP, and fluoroscopy time.
A total of 51 patients were included. SEPARPROCATH® was associated with a lower operator RE (0.07 [0-0.19] vs. 0.37 [0.23-0.81] μSv/Gy.cm <sup>2</sup> without SEPARPROCATH®, p value <0.0001) and lower nurse RE (0 [0-0.05] vs. 0.13 [0.03-0.28] μSv/Gy.cm <sup>2</sup> , p value <0.0001) corresponding to an RE relative risk reduction of 81% and 99%, respectively. Similar reductions were observed for operator and nurse CDs. No difference was found in DAP (19 [11-29] vs. 14 [10-32] Gy.cm <sup>2</sup> without SEPARPROCATH®, p value 0.81).
SEPARPROCATH® offers significant additional radioprotection to the operator and nurse during cardiac catheterization without affecting patient safety.
Keywords
Cardiac Catheterization/adverse effects, Equipment Design, Humans, Occupational Exposure/adverse effects, Occupational Exposure/prevention & control, Occupational Health, Patient Safety, Pilot Projects, Prospective Studies, Radiation Dosage, Radiation Exposure/adverse effects, Radiation Exposure/prevention & control, Radiation Protection/instrumentation, Radiography, Interventional/adverse effects, Risk Assessment, Risk Factors, Scattering, Radiation, Surgical Drapes, Time Factors, innovation, interventional cardiologist, percutaneous coronary intervention, radiation exposure, radiation protection
Pubmed
Web of science
Create date
31/03/2019 14:15
Last modification date
29/08/2020 5:20
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