{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T20:27:26Z","timestamp":1791404846815,"version":"4.3.3"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T00:00:00Z","timestamp":1480118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to evaluate the effectiveness of UltraBLOX\u2122 radiation attenuating hand cream during lengthy cardiac catheterization procedures in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The hands of interventional cardiologists receive high doses of radiation due to their proximity to the X\u2010ray beam. Radiation attenuating gloves have about a 26% attenuation rate, but reduce dexterity and tactile sensation. The UltraBLOX\u2122 cream is a new FDA\u2010approved X\u2010ray attenuating cream that can be applied to the operator's hands for radio\u2010protection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two nanoDot\u2122 dosimeters were secured side by side on the dorsum of the operator's (<jats:italic>n<\/jats:italic>\u2009=\u20092) left hand close to the wrist. One dosimeter and the rest of the hand were covered with 0.2 mm layer of the cream. The other dosimeter was unshielded. Procedures were performed using 110 kVp fluoroscopy at 15 pulses\/sec. The measurements were categorized into four groups dependent on the duration of the procedure. The patients in all four groups were well matched for age and size.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Procedural and cumulative hand radiation doses were higher with longer procedural duration. The overall % attenuation by the cream was 39.7% (28.6\u201351.5) and was unaffected by the length of the procedure (median: 40.9% at 30 min and 41.4% at 180 min; <jats:italic>P<\/jats:italic>\u2009=\u20090.66) or the dose of radiation. The kappa statistic for interobserver agreement for good tactile sensitivity was 0.82.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>UltraBLOX\u2122 cream provides a new option for radio\u2010protection for the hands of interventional cardiologists without impairing tactile sensitivity. There was no decrease in attenuation up to 180 min. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26845","type":"journal-article","created":{"date-parts":[[2016,11,26]],"date-time":"2016-11-26T09:32:43Z","timestamp":1480152763000},"page":"709-716","source":"Crossref","is-referenced-by-count":6,"title":["Clinical evaluation of a radio\u2010protective cream for the hands of the pediatric interventional cardiologist"],"prefix":"10.1002","volume":"89","author":[{"given":"Saradha","family":"Subramanian","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics University of Tennessee Health Science Center, Le Bonheur Children's Hospital Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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