Skip to main content
Erschienen in: Herz 4/2018

07.04.2017 | Original articles

Efficacy of RADPAD protective drape during coronary angiography

verfasst von: B. Kherad, T. Jerichow, F. Blaschke, M. Noutsias, B. Pieske, C. Tschöpe, F. Krackhardt

Erschienen in: Herz | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

Ionizing radiation is an integral part of percutaneous coronary angiographies. Chronic exposure to low-dose radiation confers a risk for skin damage, eye lens opacities or cataracts, and malignant diseases to staff in the catheter laboratory. The RADPAD is a sterile surgical drape that reduces the effect of scatter radiation on the operator. We sought to assess the efficacy of RADPAD shields in reducing radiation dose experienced by operators during routine diagnostic coronary angiography.

Patients and methods

Sixty consecutive patients due to undergo elective coronary angiography were randomized in a 1:1 pattern to have their procedures performed with and without the RADPAD drape in situ. Dosimetry was performed on the left arm of the primary operator.

Results

There was no significant difference in the two main determents of radiation exposure in both groups: the screening times (102 ± 86 s for the RADPAD group vs. 105 ± 36 s for the control group, p = 0.9) and body mass index (BMI; 27.7 ± 4.2 kg/m2 for the RADPAD group vs. 27.9 ± 5.5 kg/m2 for the control group, p = 0.8). Moreover, there was no difference in the dose–area ratio (1337 ± 582 cGy/cm2 for the RADPAD group vs. 1541 ± 804 cGy/cm2 for the control group, p = 0.3) between the two patient groups. The primary operator radiation dose was significantly lower in the RADPAD group at 8.0 µSv (Q1: 3.2, Q3: 20.1) compared with 19.6 µSv (Q1: 7.1, Q3: 37.7) for the control group (p = 0.02).

Conclusion

The RADPAD significantly reduces radiation exposure to primary operators during routine diagnostic coronary angiography in patients with a BMI > 25 kg/m2. It reduces total radiation exposure to primary operators by 59%, and the radiation exposure rate by 47%.
Literatur
1.
Zurück zum Zitat Venneri L, Rossi F, Botto N, Andreassi MG, Salcone N, Emad A et al (2009) Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council’s Biological Effects of Ionizing Radiation VII Report. Am Heart J 157(1):118–124. doi:10.1016/j.ahj.2008.08.009 CrossRefPubMed Venneri L, Rossi F, Botto N, Andreassi MG, Salcone N, Emad A et al (2009) Cancer risk from professional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council’s Biological Effects of Ionizing Radiation VII Report. Am Heart J 157(1):118–124. doi:10.​1016/​j.​ahj.​2008.​08.​009 CrossRefPubMed
6.
Zurück zum Zitat Power S, Mirza M, Thakorlal A, Ganai B, Gavagan LD, Given MF et al (2015) Efficacy of a radiation absorbing shield in reducing dose to the interventionalist during peripheral endovascular procedures: a single centre pilot study. Cardiovasc Intervent Radiol 38(3):573–578. doi:10.1007/s00270-014-0997-8 CrossRefPubMed Power S, Mirza M, Thakorlal A, Ganai B, Gavagan LD, Given MF et al (2015) Efficacy of a radiation absorbing shield in reducing dose to the interventionalist during peripheral endovascular procedures: a single centre pilot study. Cardiovasc Intervent Radiol 38(3):573–578. doi:10.​1007/​s00270-014-0997-8 CrossRefPubMed
8.
Zurück zum Zitat Jones MA, Cocker M, Khiani R, Foley P, Qureshi N, Wong KC et al (2014) The benefits of using a bismuth-containing, radiation-absorbing drape in cardiac resynchronization implant procedures. Pacing Clin Electrophysiol 37(7):828–833. doi:10.1111/pace.12349 CrossRefPubMed Jones MA, Cocker M, Khiani R, Foley P, Qureshi N, Wong KC et al (2014) The benefits of using a bismuth-containing, radiation-absorbing drape in cardiac resynchronization implant procedures. Pacing Clin Electrophysiol 37(7):828–833. doi:10.​1111/​pace.​12349 CrossRefPubMed
9.
Zurück zum Zitat Germano JJ, Day G, Gregorious D, Natarajan V, Cohen T (2005) A novel radiation protection drape reduces radiation exposure during fluoroscopy guided electrophysiology procedures. J Invasive Cardiol 17(9):469–472PubMed Germano JJ, Day G, Gregorious D, Natarajan V, Cohen T (2005) A novel radiation protection drape reduces radiation exposure during fluoroscopy guided electrophysiology procedures. J Invasive Cardiol 17(9):469–472PubMed
11.
Zurück zum Zitat Kherad B, Kohncke C, Spillmann F, Post H, Noutsias M, Pieske B et al (2016) Postprocedural radial artery occlusion rate using a sheathless guiding catheter for left ventricular endomyocardial biopsy performed by transradial approach. Bmc Cardiovasc Disord 16(1):253. doi:10.1186/s12872-016-0432-y CrossRefPubMedPubMedCentral Kherad B, Kohncke C, Spillmann F, Post H, Noutsias M, Pieske B et al (2016) Postprocedural radial artery occlusion rate using a sheathless guiding catheter for left ventricular endomyocardial biopsy performed by transradial approach. Bmc Cardiovasc Disord 16(1):253. doi:10.​1186/​s12872-016-0432-y CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Noutsias M, Seeberg B, Schultheiss HP, Kuhl U (1999) Expression of cell adhesion molecules in dilated cardiomyopathy: evidence for endothelial activation in inflammatory cardiomyopathy. Circulation 99(16):2124–2131CrossRefPubMed Noutsias M, Seeberg B, Schultheiss HP, Kuhl U (1999) Expression of cell adhesion molecules in dilated cardiomyopathy: evidence for endothelial activation in inflammatory cardiomyopathy. Circulation 99(16):2124–2131CrossRefPubMed
13.
Zurück zum Zitat Tschope C, Bock CT, Kasner M, Noutsias M, Westermann D, Schwimmbeck PL et al (2005) High prevalence of cardiac parvovirus B19 infection in patients with isolated left ventricular diastolic dysfunction. Circulation 111:879–886CrossRefPubMed Tschope C, Bock CT, Kasner M, Noutsias M, Westermann D, Schwimmbeck PL et al (2005) High prevalence of cardiac parvovirus B19 infection in patients with isolated left ventricular diastolic dysfunction. Circulation 111:879–886CrossRefPubMed
14.
Zurück zum Zitat Ma XX, Boldt LH, Zhang YL, Zhu MR, Hu B, Parwani A et al (2016) Clinical Relevance of Left Atrial Strain to Predict Recurrence of Atrial Fibrillation after Catheter Ablation: A Meta-Analysis. Echocardiography 33(5):724–733. doi:10.1111/echo.13184 CrossRefPubMed Ma XX, Boldt LH, Zhang YL, Zhu MR, Hu B, Parwani A et al (2016) Clinical Relevance of Left Atrial Strain to Predict Recurrence of Atrial Fibrillation after Catheter Ablation: A Meta-Analysis. Echocardiography 33(5):724–733. doi:10.​1111/​echo.​13184 CrossRefPubMed
Metadaten
Titel
Efficacy of RADPAD protective drape during coronary angiography
verfasst von
B. Kherad
T. Jerichow
F. Blaschke
M. Noutsias
B. Pieske
C. Tschöpe
F. Krackhardt
Publikationsdatum
07.04.2017
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 4/2018
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-017-4560-7

Weitere Artikel der Ausgabe 4/2018

Herz 4/2018 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.