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Female vascular surgeons face radiation exposure concerns during pregnancy. Most desire national radiation safety guidelines to protect trainees and aid recruitment, with program directors supporting policy development.

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Area of Science:

  • Medical Imaging and Radiation Safety
  • Vascular Surgery
  • Occupational Health

Background:

  • Endovascular surgery increases radiation exposure for vascular surgeons.
  • Concerns exist regarding radiation safety for female vascular trainees and staff of childbearing age.
  • Existing practices and policies for pregnancy and radiation exposure in vascular surgery are not standardized.

Purpose of the Study:

  • To assess current practices and concerns regarding radiation exposure during pregnancy in vascular surgery.
  • To determine the need for and opinions on establishing radiation safety guidelines for pregnant vascular surgeons and trainees.
  • To evaluate program director perspectives on policies for pregnant trainees.

Main Methods:

  • Two surveys were distributed: one to female vascular surgeons (trainees and faculty) and one to program directors of vascular surgery programs.
  • Surveys gathered data on pregnancy during training/practice, radiation exposure practices (e.g., fetal badge use), pregnancy complications, and opinions on guidelines.
  • Program directors were surveyed about institutional policies and support for national guidelines.

Main Results:

  • A majority of surveyed female vascular surgeons (53%) were pregnant during training or practice, with many performing endovascular procedures without fetal badges.
  • Some complications during pregnancy were reported, linked to radiation exposure or demanding call schedules.
  • Over 90% of female surgeons and 75% of program directors supported the development of national radiation safety guidelines, with 81% of directors willing to adopt them.

Conclusions:

  • There is a strong consensus among female vascular surgeons and program directors for establishing radiation safety guidelines.
  • Developing and supporting national radiation safety guidelines is crucial for pregnant trainees and practicing vascular surgeons.
  • Such guidelines could improve the recruitment and retention of women in vascular surgery.