Radiation Safety Program for the Cardiac Catheterization Laboratory

被引:209
作者
Chambers, Charles E. [1 ]
Fetterly, Kenneth A. [2 ]
Holzer, Ralf [3 ]
Lin, Pei-Jan Paul [4 ]
Blankenship, James C. [5 ]
Balter, Stephen [6 ,7 ]
Laskey, Warren K. [8 ]
机构
[1] Penn State Univ, Milton S Hershey Med Ctr, Coll Med, Hershey, PA 17033 USA
[2] Mayo Clin, Dept Med, Rochester, MN USA
[3] Nationwide Childrens Hosp, Ctr Heart, Columbus, OH USA
[4] Harvard Univ, Beth Israel Deaconess Med Ctr, Dept Radiol, Sch Med, Boston, MA 02215 USA
[5] Geisinger Med Ctr, Dept Cardiol, Danville, PA 17822 USA
[6] Columbia Univ, Dept Radiol, Med Ctr, New York, NY USA
[7] Columbia Univ, Dept Med, Med Ctr, New York, NY USA
[8] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA
关键词
radiation physics; angiography coronary; diagnostic cardiac catheterization; complications adult cath/intervention; percutaneous coronary intervention; PERCUTANEOUS CORONARY INTERVENTION; PATIENTS SKIN; CANCER INCIDENCE; BREAST-CANCER; UNITED-STATES; EXPOSURE; ANGIOGRAPHY; TIME; GUIDELINES; REDUCTION;
D O I
10.1002/ccd.22867
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Society of Cardiovascular Angiography and Interventions present a practical approach to assist cardiac catheterization laboratories in establishing a radiation safety program. The importance of this program is emphasized by the appropriate concerns for the increasing use of ionizing radiation in medical imaging, and its potential adverse effects. An overview of the assessment of radiation dose is provided with a review of basic terminology for dose management. The components of a radiation safety program include essential personnel, radiation monitoring, protective shielding, imaging equipment, and training/education. A procedure based review of radiation dose management is described including pre-procedure, procedure and post-procedure best practice recommendations. Specific radiation safety considerations are discussed including women and fluoroscopic procedures as well as patients with congenital and structural heart disease. (C) 2011 Wiley-Liss, Inc.
引用
收藏
页码:546 / 556
页数:11
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