{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:50:56Z","timestamp":1791636656984,"version":"4.3.4"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Enhanced radiation protection devices (ERPDs) have the potential to reduce occupational risks in the cardiac catheterization laboratory. We aimed to investigate scatter radiation exposure to various cardiac catheterization laboratory members using 2 ERPDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We prospectively allocated cases to 3 different shielding conditions: standard shielding (group 1), EggNest Protect ERPD (group 2), and EggNest Complete ERPD (group 3). Real\u2010time dosimetry was used to measure radiation exposure at 3 positions: primary operator (position 1), assistant (position 2), and circulating nurse (position 3). Effective dose equivalent was estimated (annualized to 300 cases\/y).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      A total of 135 patients were included in the study (mean age, 68\u00b111\u2009years; 73% men). For position 1, annualized effective dose equivalent \u20101 doses were 51.4 (19.1\u2013101.3), 7.0 (2.3\u201321.5), and 2.4 (0.9\u20136.2) mRem for groups 1, 2, and 3, respectively (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001) standard shielding versus Protect ERPD: 33.1 (95% CI, 11.1\u201362.9), standard shielding versus Complete ERPD: 41.4 (20.5\u201371.9). For position 2, annualized effective dose equivalent \u20101 doses were 2.8 (2.0\u20136.3), 1.1 (0.6\u20136.4), and 0.8 (0.3\u20132.7) mRem for groups 1, 2, and 3, respectively (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001) standard shielding versus Protect ERPD: 33.1 (95% CI, 11.1\u201362.9), standard shielding versus Complete ERPD: 41.4 (20.5\u201371.9). For position 3, annualized effective dose equivalent \u20101 doses were 1.5 (0.6\u20134.0), 1.5 (0.3\u20132.4), and 0.8 (0.2\u20132.5) mRem for groups 1, 2, and 3, respectively (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.003) standard shielding versus Protect ERPD: 0.3 (\u22120.4 to 1.2), standard shielding versus Complete ERPD: 0.4 (\u22120.1 to 1.4). With the use of the EggNest Complete ERPD without a lead apron, annualized total effective doses are \u22641% of the recommended annual maximum for all positions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Compared with standard shielding, ERPDs significantly lowered scatter radiation exposure to all members of the cardiac catheterization laboratory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.126.050577","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:49:26Z","timestamp":1791632966000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Standard Shielding Versus Novel Enhanced Radiation Protection Devices in the Cardiac Catheterization Laboratory"],"prefix":"10.1161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8740-2501","authenticated-orcid":false,"given":"Raviteja R.","family":"Guddeti","sequence":"first","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian W.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2610-0803","authenticated-orcid":false,"given":"Robert F.","family":"Riley","sequence":"additional","affiliation":[{"name":"Overlake Medical Center","place":["Bellevue, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7484-4068","authenticated-orcid":false,"given":"Jacob","family":"Kamen","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai","place":["New York, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarrod","family":"Frizzell","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korey","family":"Haddox","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Kong","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Rudick","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0175-9281","authenticated-orcid":false,"given":"Sitaramesh","family":"Emani","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1696-8074","authenticated-orcid":false,"given":"John. D.","family":"Corl","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3192-3878","authenticated-orcid":false,"given":"Puvi","family":"Seshiah","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1123-0533","authenticated-orcid":false,"given":"Timothy D.","family":"Henry","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1086-127X","authenticated-orcid":false,"given":"Dean J.","family":"Kereiakes","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Tribble","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1806-6783","authenticated-orcid":false,"given":"Santiago","family":"Garcia","sequence":"additional","affiliation":[{"name":"The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital","place":["Cincinnati, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2015-102888"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.115.003273"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I9A172"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2011.02041.x"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.12.060"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25927"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27114"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2025.vol39.014"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.108.825323"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahjo.2025.100543"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.07.050"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2024.02.015"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahjo.2025.100512"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2025.103786"},{"key":"e_1_3_1_16_2","unstructured":"American Association of Physicist in Medicine . NCRP Report No. 122 Use of Personal Monitors to Estimate Effective Dose Equivalent and Effective Dose to Workers for External Exposure to Low\u2010LET Radiation. Accessed December 8 2026. https:\/\/www.aapm.org\/pubs\/ncrp\/detail.asp?docid=56."},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.icrp.2008.07.001"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2024.102493"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2026.06.011"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2023.101184"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jscai.2025.102578"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.126.050577","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:49:27Z","timestamp":1791632967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.126.050577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,10]]},"references-count":20,"alternative-id":["10.1161\/JAHA.126.050577"],"URL":"https:\/\/doi.org\/10.1161\/jaha.126.050577","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,10]]},"assertion":[{"value":"2026-03-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e050577"}}