综合性辐射屏蔽将冠状动脉和结构性心脏手术中的操作员辐射暴露降至最低
David G Rizik1, Kevin P Gosselin2, Robert F Burke1
1Honor Health, Scottsdale, AZ, United States of America.
概括
在心脏手术过程中,ProtegoTM辐射屏极大减少了医生辐射暴露的99%,提供了完全的身体保护,而不需要围. 这项创新显著降低了心脏导管实验室的职业健康风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医学物理 医学物理
背景情况:
- 进行心脏手术的医生面临显著的辐射暴露 (RE).
- 传统的围在骨科上是非常繁重的.
- ProtegoTM辐射屏蔽系统提供全面的保护.
研究的目的:
- 为了评估ProtegoTM辐射屏蔽系统的有效性.
- 为了尽量减少医生在冠状动脉和结构性心脏手术期间的辐射暴露.
- 将ProtegoTM系统与标准辐射保护方法进行比较.
主要方法:
- 进行了一项单中心,两组队列研究.
- 该研究包括大量冠状动脉和结构性心脏手术.
- 运营商RE在ProtegoTM系统和标准保护 (装,"下降"屏蔽) 之间进行了比较.
主要成果:
- 与标准保护相比,ProtegoTM系统减少了99%的操作者RE.
- 甲状腺和腰部辐射剂量与ProtegoTM显著降低 (p < 0.001).
- 在64%的TAVR和73.2%的冠状动脉病例中记录了零总RE.
结论:
- ProtegoTM护罩为心脏手术操作人员提供全身辐射保护.
- 它消除了对个人围的需求.
- 该系统有可能减少透实验室的职业健康危害.
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