Editor's Choice - Minimizing Radiation Exposure During Endovascular Procedures: Basic Knowledge, Literature Review,
A Hertault1, B Maurel1, M Midulla2
1Vascular Surgery Aortic Centre, Hôpital Cardiologique, CHRU Lille, France.
Summary
Vascular surgeons need radiation safety education for endovascular procedures. Understanding X-ray physics and dose monitoring is crucial for minimizing risks to patients and staff.
Area of Science:
- Medical Physics
- Vascular Surgery
- Radiology
Background:
- Endovascular procedures necessitate X-ray guidance, posing biological risks to patients and physicians.
- Adherence to the "as low as reasonably achievable" (ALARA) principle is mandated for medical X-ray use.
- International recommendations emphasize mandatory radiation safety training for physicians, yet content and practices vary globally.
Purpose of the Study:
- To provide vascular surgeons with foundational knowledge of X-ray physics and image production.
- To consolidate essential information for safe radiation practices in endovascular surgery.
Main Methods:
- Convened a multidisciplinary panel of endovascular specialists and physicists.
- Summarized international radiation safety recommendations.
- Conducted a literature review to assess radiation dosages in common endovascular procedures.
Main Results:
- Detailed biological risks of X-ray exposure and health effects.
- Proposed a standardized nomenclature for dose metrics to enable accurate comparisons.
- Summarized key legislation and radiation protection principles for patients and staff.
Conclusions:
- Physicians face significant radiation exposure; dedicated initial and ongoing training is essential.
- Prioritizing dose reduction and exposure monitoring is mandatory in daily clinical practice.
- This review equips physicians to evaluate and improve their radiation safety practices.
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