心导管安全的进步:新型辐射防护方法重新定义职业健康。

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2024-08-20 DOI:10.2174/011573403X304828240819050538
Zahra Shaghaghi, Roozbeh Narimani Javid, Maryam Alvandi
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引用次数: 0

摘要

辐照对导管室(cath lab)中的医护人员构成了巨大的职业风险。介入手术(如心导管检查和经皮冠状动脉介入治疗)的复杂性和频率不断增加,突出表明需要采取创新策略来减少辐射照射。虽然铅围裙、甲状腺衣领和护目镜等传统措施在减少辐射暴露方面起到了关键作用,但它们也有局限性,尤其是在长时间和复杂的手术过程中。因此,人们对先进辐射防护方法的需求日益增长,这些方法既能保证安全性,又不影响手术效果。最近,辐射防护技术取得了长足进步,出现了专为阴式实验室量身定制的新型屏蔽装置和零辐射方法。新型屏蔽装置利用创新材料和设计实现了对散射和直接辐射的出色衰减。它们符合人体工程学的可调节特性还能确保最佳的屏蔽覆盖范围,而不会妨碍操作员的技能或工作流程。多项研究已经验证了这些先进的辐射防护方法在减少阴道实验室职业辐射暴露方面的有效性。初步研究结果表明,操作员和工作人员的辐射剂量明显减少,从长远来看,有可能降低辐射引起的健康并发症的风险。本文全面回顾了当前阴道实验室辐射防护屏蔽的发展状况,强调了这些尖端屏蔽技术的功效和潜力。
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Advancements in Cardiac Catheterization Safety: Novel Radiation Protection Approaches Redefining Occupational Health.

Radiation exposure poses a substantial occupational risk for healthcare professionals in the catheterization laboratory (cath lab). The escalating complexity and frequency of interventional procedures, such as cardiac catheterizations and percutaneous coronary interventions, underscore the need for innovative strategies to mitigate radiation exposure. While traditional measures like lead aprons, thyroid collars, and goggles have been pivotal in reducing radiation exposure, they have limitations, especially during prolonged and intricate procedures. Consequently, there is a growing demand for advanced radiation protection methods that prioritize safety without compromising procedural efficacy. Recent strides in radiation protection technology have given rise to novel shielding devices and zero-radiation approaches tailored for cath lab use. The novel shields leverage innovative materials and designs to achieve superior attenuation of both scattered and direct radiation. Their ergonomic and adjustable features also ensure optimal shielding coverage without impeding the operator's skill or workflow. Multiple studies have validated the effectiveness of these advanced radiation protection methods in diminishing occupational radiation exposure in the cath lab. Initial findings suggest a significant reduction in doses for operators and staff, potentially lowering the risk of radiation-induced health complications over the long term. This article provides a comprehensive review of the current landscape of radiation protection shields in the cath lab, emphasizing the efficacy and potential of these cuttingedge shielding technologies.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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