Abstract 19741: Current Perspectives and Practices on Radiation Safety in the Catheterization Laboratory
Introduction: There is growing interest in improving radiation safety in the cardiac catheterization laboratory for both patients and operators.
Methods: We developed and administered an online survey on practices and perceptions on radiation safety to physicians working in the catheterization laboratory both in the United States and internationally.
Results: A total of 570 responses were collected from the United States (77.9%), Asia (7.9%), Europe (6.8%), Canada (2.8%), Mexico and Central America (2.1%). Most (73%) respondents were interventional cardiologists, while 23.3% were electrophysiologists. Participants were in clinical practice for 14.4 ± 10.2 years. Of the respondents 75.4% did not know how much radiation they had received during the past year, 21.2% had never attended a radiation safety course, and 17.7% attended annual refresher courses. 43.0% reported back pain related to lead use and 6.3% had health problems potentially related to radiation exposure, i.e. cataracts and malignancies. More frequent attendance of radiation safety courses was associated with more frequent awareness about personal annual dose (p=0.0002), patient radiation dose thresholds (p<0.0001) and use of the fluoro store function (p<0.0001) and under-table shields (p=0.0012). When comparing US with non-US operators, US operators were more likely to attend radiation safety courses, wear a dosimeter, and use the fluoro store function (Figure). In addition, US operators were more likely to use under-table shields (p=0.0016) and disposable radiation shields (p=0.0016). US operators were more concerned about chronic radiation exposure, but non-US operators were more likely to know their annual personal radiation dose (p<0.0001).
Conclusions: Radiation safety in the catheterization laboratory is a concern for many operators, however there is a significant variability in current practices around the world.
Author Disclosures: R. Menon: None. S. Patel: None. A. Karatasakis: None. B.A. Danek: None. J. Karacsonyi: None. B.V. Rangan: None. T. Addo: None. D. Kumbhani: None. S. Kapadia: None. M. Luna: None. E. Mahmud: None. C. Chambers: None. S. Banerjee: Research Grant; Modest; Gilead, The Medicines Company. Ownership Interest; Modest; MDCARE Global (spouse). Consultant/Advisory Board; Modest; Covidien, Merck, Medtronic. Other; Modest; Intellectual Property in HygeiaTel, Educational Grant Boston Scientific (spouse). E.S. Brilakis: Other Research Support; Modest; InfraRedx, Boston Scientific. Consultant/Advisory Board; Modest; Abbott Vascular, Asahi, Elsevier, GE Healthcare, St. Jude Medical. Other; Modest; Spouse is employee of Medtronic.
- © 2016 by American Heart Association, Inc.