International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 6 | Original Research Article | Open Access DOI
Issar NK*
Jayachandra A1, Issar NK2*, Sharma N3 and Sharma P4
1Department of Cardiology, Military Hospital, India
2Department of Gastroenterology and Transplant Hepatology, Army Hospital (R&R), India
3Department of Radiation Oncology, All India Institute of Medical Sciences, India
4Department of Cardiology, Military Command Hospital, India
Fulltext PDF1.1. Introduction: Ionizing radiation remains an integral part of all Percutaneous Coronary Interventions (PCI). Prolonged exposure to low-dose radiation confers a small but definitive stochastic risk for developing malignant diseases, skin damage, or eye problems. Reducing dose exposure in cath. lab on day today practice is of utmost important. Our aim was to test reduction in the amount of radiation generation [Air Kerma (AK) and Dose Area Product (DAP)] while using the optimal shielding mechanism. 1.2. Materials and Methods: Five hundred and nineteen (519) randomly selected patients who underwent angioplasty procedures were enrolled. The study was conducted from 1st June 2019 to 31st May 2022. The PCI procedures were carried out at a single center. 1.3. Results: The mean AK from our cohort when compared to other published studies was significantly lesser than six studies and higher than one study. When compared with enhanced radiation safety protocol cohort, our mean AK was lesser than four centers and more than two centers. These dose reductions were achieved without increasing the volume of contrast media, fluoroscopy time or rates of procedural complications. 1.4. Conclusion: Optimizing the radiation safety protocol effectively reduces radiation exposure in patients and operators during cardiac catheterization procedures. 1.5. Keywords: Cardiac catheterization; Patient safety; Radiation exposure; Radiography; Interventional; Risk factors
Jayachandra A, Issar NK, Sharma N, Sharma P, et al. Enhanced Radiation Safety Protocol Adoption for Reducing Radiation Burden in Cath Lab During Angioplasty. Int Clinc Med Case Rep Jour. 2024;3(6):1-7.