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在冠状动脉血管整形术期间减少主操作员辐射剂量暴露,使用吸收辐射的窗

Amit B Sharma¹, Richa Agrawal¹

¹Cardiology, Paras Hospital, Gurugram, IND.

|November 8, 2023

概括

RADPAD手术布显著降低了经营者在穿皮冠状动脉干预 (PCI) 过程中的辐射暴露. 这种辐射保护措施对心脏导管实验室的患者和医务人员都有效.

科学领域:

医学成像和放射瘤学医学成像和放射瘤学
心血管干预心血管干预
职业健康和安全问题职业健康和安全问题

背景情况:

穿皮冠状动脉干预 (PCI) 使用电离辐射,给心脏导管套房的操作人员带来暴露风险.
RADPAD手术布被设计用于减轻PCI期间主要操作人员的散射辐射暴露.
在导管实验室内评估RADPAD窗在降低辐射剂量的有效性至关重要.

研究的目的:

评估RADPAD窗在降低主要操作人员在PCI期间所收到的辐射剂量的有效性.
为了比较使用RADPAD屏蔽和不使用RADPAD屏蔽的程序之间的辐射暴露水平.
为了确定RADPAD的使用是否会影响程序时间或空气 Kerma剂量.

主要方法:

一个单中心,前性,观察性研究,涉及53名接受PCI的患者.
患者被1:1随机分配到RADPAD组或对照组 (没有RADPAD).
记录了对主操作员的辐射暴露,光镜时间,电影收获和空气克尔玛;统计分析包括ANOVA和Tukey的HSD测试.

主要成果:

与NO RADPAD组 (23名患者,8.12 mrem) 相比,RADPAD组 (30名患者) 的平均辐射剂量 (3.679 mrem) 显着较低 (p < 0.00001).
两组之间在手术时间或空气克尔玛剂量方面没有发现显著差异.
通过使用RADPAD,每单位空气克尔马的初级操作剂量也显著减少.

结论:

在冠状动脉血管造形术期间,RADPAD窗有效地显著降低了操作人员的辐射剂量暴露.
使用RADPAD为医疗人员减少辐射剂量提供了一种安全有效的方法.
这项研究支持RADPAD的推,认为RADPAD是提高心脏导管程序安全性的宝贵工具.

关键词:

心脏病专家心脏病专家干预干预干预干预干预干预通过皮肤进行冠状动脉干预.辐射辐射辐射辐射的辐射一个X射线.

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