{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T14:41:13Z","timestamp":1767192073173,"version":"3.28.0"},"reference-count":12,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6]]},"abstract":"Exposure to ionizing radiation during cardiac catheterization can have harmful consequences for patients and for the medical staff involved in the procedures. Minimizing radiation doses during the procedures is essential. We investigated whether fine-tuning the radiation protocol reduces radiation doses in the cardiac catheterization laboratory.<\/jats:p>\n In January 2016, we implemented a new protocol with reduced radiation doses in the Hospital de Jerez catheterization laboratory. We analyzed 170 consecutive coronary interventional procedures (85 of which were performed after the new protocol was implemented) and the personal dosimeters of the interventional cardiologists who performed the procedures.<\/jats:p>\n Overall, the low-radiation protocol reduced air kerma (dose of radiation) by 44.9% (95% CI, 18.4%\u201370.8%; P<\/jats:italic>=0.001). The dose-area product decreased by 61% (95% CI, 30.2%\u201390.1%; P<\/jats:italic> <0.001) during percutaneous coronary interventions. We also found that the annual deep (79%, P<\/jats:italic>=0.026) and shallow (62.2%, P<\/jats:italic>=0.035) radiation doses to which primary operators were exposed decreased significantly under the low-radiation protocol. These dose reductions were achieved without increasing the volume of contrast media, fluoroscopy time, or rates of procedural complications, and without reducing the productivity of the laboratory.<\/jats:p>\n Optimizing the radiation safety protocol effectively reduced radiation exposure in patients and operators during cardiac catheterization procedures.<\/jats:p>","DOI":"10.14503\/thij-17-6548","type":"journal-article","created":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T15:59:21Z","timestamp":1572537561000},"page":"167-171","source":"Crossref","is-referenced-by-count":11,"title":["Effective Reduction of Radiation Exposure during Cardiac Catheterization"],"prefix":"10.14503","volume":"46","author":[{"given":"Alejandro","family":"Guti\u00e9rrez-Barrios","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo","family":"Camacho-Gal\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Medina-Camacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dolores","family":"Ca\u00f1adas-Prua\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Jimenez-Moreno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"German","family":"Calle-Perez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"V\u00e1zquez-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"2","key":"i1526-6702-46-3-167-b1","series-title":"Circulation","first-page":"A1","article-title":"Report of the Inter-Society Commission for Heart Disease Resources. 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Circulation1976;53(2):A1\u201337."},{"issue":"2","key":"i1526-6702-46-3-167-b2","series-title":"Catheter Cardiovasc Interv","first-page":"291","article-title":"Optimizing radiation safety in the cardiac catheterization laboratory: a practical approach","volume":"87","year":"2016","unstructured":"Christopoulos\n G\n , MakkeL, ChristakopoulosG, KotsiaA, RanganBV, RoesleM, \n et al. Optimizing radiation safety in the cardiac catheterization laboratory: a practical approach. Catheter Cardiovasc Interv2016;87(2):291\u2013301."},{"issue":"2","key":"i1526-6702-46-3-167-b3","series-title":"Int J Cardiol","first-page":"147","article-title":"Radiation effects in fluoroscopically guided cardiac interventions--keeping them under control","volume":"109","year":"2006","unstructured":"Rehani\n MM\n , Ortiz-LopezP.\n Radiation effects in fluoroscopically guided cardiac interventions--keeping them under control. 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Catheter Cardiovasc Interv2017;90(1):1\u20139."},{"issue":"12","key":"i1526-6702-46-3-167-b6","series-title":"Heart","first-page":"1615","article-title":"Radiation in the cardiac catheter laboratory [published erratum appears in Heart 2009;95(7):594]","volume":"91","year":"2005","unstructured":"Partridge\n J.\n \n \n Radiation in the cardiac catheter laboratory [published erratum appears in Heart 2009;95(7):594]. Heart2005;91(12):1615\u201320."},{"issue":"5","key":"i1526-6702-46-3-167-b7","series-title":"JACC Cardiovasc Interv","first-page":"550","article-title":"Radiation dose reduction in the cardiac catheterization laboratory utilizing a novel protocol","volume":"7","year":"2014","unstructured":"Wassef\n AW\n , HiebertB, RavandiA, DucasJ, MinhasK, VoM, \n et al. Radiation dose reduction in the cardiac catheterization laboratory utilizing a novel protocol. JACC Cardiovasc Interv2014;7(5):550\u20137."},{"issue":"11","key":"i1526-6702-46-3-167-b8","series-title":"J Am Coll Cardiol","first-page":"2259","article-title":"ACCF\/AHA\/HRS\/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. A report of the American College of Cardiology Foundation\/American Heart Association\/American College of Physicians task force on clinical competence and training","volume":"44","year":"2004","unstructured":"Hirshfeld\n JW\n Jr\n , BalterS, BrinkerJA, KernMJ, KleinLW, LindsayBD, \n et al. ACCF\/AHA\/HRS\/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. A report of the American College of Cardiology Foundation\/American Heart Association\/American College of Physicians task force on clinical competence and training. J Am Coll Cardiol2004;44(11):2259\u201382."},{"key":"i1526-6702-46-3-167-b9","series-title":"Cardiovasc Ultrasound","first-page":"35","article-title":"The radiation issue in cardiology: the time for action is now","volume":"9","year":"2011","unstructured":"Picano\n E\n , VanoE.\n The radiation issue in cardiology: the time for action is now. Cardiovasc Ultrasound2011;9:35."},{"issue":"7","key":"i1526-6702-46-3-167-b10","series-title":"Catheter Cardiovasc Interv","first-page":"1046","article-title":"Determinants of operator and patient radiation exposure during cardiac catheterization: insights from the RadiCure (radiation reduction during cardiac catheterization using real-time monitoring) trial","volume":"88","year":"2016","unstructured":"Christopoulos\n G\n , PapayannisAC, AlomarM, ChristakopoulosGE, KotsiaA, MichaelTT, \n et al. Determinants of operator and patient radiation exposure during cardiac catheterization: insights from the RadiCure (radiation reduction during cardiac catheterization using real-time monitoring) trial. Catheter Cardiovasc Interv2016;88(7):1046\u201355."},{"issue":"1","key":"i1526-6702-46-3-167-b11","series-title":"AJR Am J Roentgenol","first-page":"13","article-title":"Skin injuries from fluoroscopically guided procedures: part 2, review of 73 cases and recommendations for minimizing dose delivered to patient","volume":"177","year":"2001","unstructured":"Koenig\n TR\n , MettlerFA, WagnerLK.\n Skin injuries from fluoroscopically guided procedures: part 2, review of 73 cases and recommendations for minimizing dose delivered to patient. AJR Am J Roentgenol2001;177(1):13\u201320."},{"issue":"4","key":"i1526-6702-46-3-167-b12","series-title":"Catheter Cardiovasc Interv","first-page":"546","article-title":"Radiation safety program for the cardiac catheterization laboratory","volume":"77","year":"2011","unstructured":"Chambers\n CE\n , FetterlyKA, HolzerR, LinPJ, BlankenshipJC, BalterS, LaskeyWK.\n Radiation safety program for the cardiac catheterization laboratory. Catheter Cardiovasc Interv2011;77(4):546\u201356."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/46\/3\/article-p167.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/46\/3\/167\/2445278\/thij-17-6548.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/46\/3\/article-p167.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/46\/3\/article-p167.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:35:57Z","timestamp":1730993757000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/46\/3\/article-p167.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":12,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.14503\/thij-17-6548","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}