Heavy Metal Pad Shielding During Fluoroscopic Interventions

Overview

Journal J Vasc Interv Radiol

Specialties Cardiology & Vascular Diseases
Radiology

Date 2006 Jul 27

PMID 16868175

Citations 8

Authors

Sergio Dromi

Bradford J Wood

Jay Oberoi

Ziv Neeman

Affiliations

Soon will be listed here.

Abstract

Significant direct and scatter radiation doses to patient and physician may result from routine interventional radiology practice. A lead-free disposable tungsten antimony shielding pad was tested in phantom patients during simulated diagnostic angiography procedures. Although the exact risk of low doses of ionizing radiation is unknown, dramatic dose reductions can be seen with routine use of this simple, sterile pad made from lightweight tungsten antimony material.

Citing Articles

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Assessing the Efficacy of RADPAD Protection Drape in Reducing Radiation Exposure to Operators in the Cardiac Catheterization Laboratory: A Systematic Review and Meta-Analysis.

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Radiation Protection in Interventional Radiology.

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Does nonexistent of your hands on the screen guarantee no radiation exposure to your body? - Study on exposure of the practitioner's hands to radiation during C-arm fluoroscopy-guided injections and effectiveness of a new shielding device.

Lee J, Kim J, Lee S, Kim M, Nam T, Kim C Medicine (Baltimore). 2019; 98(46):e17959.

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A double-blind, randomized, sham-controlled trial of the effect of a radiation-attenuating drape on radiation exposure to endoscopy staff during ERCP.

Muniraj T, Aslanian H, Laine L, Farrell J, Ciarleglio M, Deng Y Am J Gastroenterol. 2015; 110(5):690-6.

PMID: 25823765 DOI: 10.1038/ajg.2015.85.

References

ANDERSON J, Wang J, Clarke G . Choice of phantom material and test protocols to determine radiation exposure rates for fluoroscopy. Radiographics. 2000; 20(4):1033-42. DOI: 10.1148/radiographics.20.4.g00jl051033. View

Valentin J . Avoidance of radiation injuries from medical interventional procedures. Ann ICRP. 2001; 30(2):7-67. DOI: 10.1016/S0146-6453(01)00004-5. View

Mahesh M . Fluoroscopy: patient radiation exposure issues. Radiographics. 2001; 21(4):1033-45. DOI: 10.1148/radiographics.21.4.g01jl271033. View

King J, Champlin A, Kelsey C, Tripp D . Using a sterile disposable protective surgical drape for reduction of radiation exposure to interventionalists. AJR Am J Roentgenol. 2002; 178(1):153-7. DOI: 10.2214/ajr.178.1.1780153. View

Botwin K, Thomas S, Gruber R, Torres F, Bouchlas C, Rittenberg J . Radiation exposure of the spinal interventionalist performing fluoroscopically guided lumbar transforaminal epidural steroid injections. Arch Phys Med Rehabil. 2002; 83(5):697-701. DOI: 10.1053/apmr.2002.32439. View

Hopper K . Orbital, thyroid, and breast superficial radiation shielding for patients undergoing diagnostic CT. Semin Ultrasound CT MR. 2003; 23(5):423-7. DOI: 10.1016/s0887-2171(02)90013-2. View

Miller D, Balter S, Cole P, Lu H, Schueler B, Geisinger M . Radiation doses in interventional radiology procedures: the RAD-IR study: part I: overall measures of dose. J Vasc Interv Radiol. 2003; 14(6):711-27. DOI: 10.1097/01.rvi.0000079980.80153.4b. View

Stoeckelhuber B, Schulz E, Melchert U, Blobel J, Gellissen J, Gehl H . [Procedures, spectrum and radiation exposure in CT-fluoroscopy]. Rontgenpraxis. 2003; 55(2):51-7. View

Marx M, Ellis J . Radiation protection of the hand in interventional radiology: should it fit like a glove?. Radiology. 1996; 200(1):24-5. DOI: 10.1148/radiology.200.1.8657919. View

10.

Brix G, Nekolla E, Griebel J . [Radiation exposure of patients from diagnostic and interventional X-ray procedures. Facts, assessment and trends]. Radiologe. 2005; 45(4):340-9. DOI: 10.1007/s00117-005-1184-3. View

11.

Belkacemi Y, Piel G, Rat P, Julia F, Touboul E, Housset M . Ionizing radiation-induced death in bovine lens epithelial cells: mechanisms and influence of irradiation dose rate. Int J Cancer. 2000; 90(3):138-44. View

12.

Young A, Morin R, Hunter D, Nelson K, Cardella J, AMPLATZ K . Surface shield: device to reduce personnel radiation exposure. Radiology. 1986; 159(3):801-3. DOI: 10.1148/radiology.159.3.3704160. View

13.

Simpkin D . Radiation shielding of multiple x-ray sources in diagnostic radiology. Health Phys. 1986; 50(1):117-22. DOI: 10.1097/00004032-198601000-00011. View

14.

Miller D, Vucich J, Cope C . A flexible shield to protect personnel during interventional procedures. Radiology. 1985; 155(3):825. DOI: 10.1148/radiology.155.3.4001386. View

15.

Berrington de Gonzalez A, Darby S . Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet. 2004; 363(9406):345-51. DOI: 10.1016/S0140-6736(04)15433-0. View