Radiation Exposure During Invasive Cardiovascular Procedures: Portable Shielding System Versus Standard Lead Aprons

介入性心血管手术中的辐射暴露:便携式防护系统与标准铅围裙的比较

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Abstract

Introduction Significant progress in the field of interventional cardiology has led to a rise in percutaneous procedures and an increase in the risk of radiation exposure at the workplace. Staff health has been put at risk due to the limitations of conventional radiation protective techniques. Innovative methods, such as RAMPART, have promising prospects for enhancing radiation safety. The purpose of this study was to evaluate RAMPART's effectiveness and practicality in comparison to conventional protective techniques with a lead apron and shield (LAS) during cardiac interventional procedures. Method One hundred elective cardiac procedures were enrolled in this prospective single-center research study. Two groups were formed from the participants: standard protection (group A) and RAMPAT system (group B). Real-time dosimeters were used to track the radiation dosage, dosage reduction factor, dosage reduction percentage, and likelihood of exceeding the limit, which were included in the data. Proceduralists were urged to use different strategies to reduce exposure. The study was approved by an ethical committee and ran from June 2023 to August 2023. Results When comparing the RAMPART group to the conventional protection group, neck-level radiation exposure was considerably lower for all workers. There were no notable variations in the exposure of the waist. The RAMPART group was shown to be superior in minimizing radiation exposure, as evidenced by dose reduction metrics. The groups had comparable procedural characteristics. Conclusion Compared to conventional LAS, the RAMPART system dramatically reduces radiation exposure to the entire body.

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