Occupational radiation exposure in femoral artery approach is higher than radial artery approach during coronary angiography or percutaneous coronary intervention

Jung-Su Kim; Bong-Ki Lee; Dong-Ryeol Ryu; Kwangjin Chun; Ho-Seok Kwon; So-Ra Nam; Doo-Il Kim; Sung-Yun Lee; Jin-Ok Jeong; Jang-Whan Bae; Jong-Seon Park; Youngkeun Ahn; Je-Keon Chae; Myeong-Ho Yoon; Seung-Hwan Lee; Jeonghan Yoon; Hyeon-Cheol Gwon; Donghoon Choi; Soon-Mu Kwon; Young-Hoon Roh; Byung-Ryul Cho

doi:10.1038/s41598-020-62794-2

Occupational radiation exposure in femoral artery approach is higher than radial artery approach during coronary angiography or percutaneous coronary intervention

Sci Rep. 2020 Apr 28;10(1):7104. doi: 10.1038/s41598-020-62794-2.

Authors

Jung-Su Kim¹, Bong-Ki Lee², Dong-Ryeol Ryu², Kwangjin Chun², Ho-Seok Kwon², So-Ra Nam³, Doo-Il Kim⁴, Sung-Yun Lee⁵, Jin-Ok Jeong⁶, Jang-Whan Bae⁷, Jong-Seon Park⁸, Youngkeun Ahn⁹, Je-Keon Chae¹⁰, Myeong-Ho Yoon¹¹, Seung-Hwan Lee¹², Jeonghan Yoon¹², Hyeon-Cheol Gwon¹³, Donghoon Choi¹⁴, Soon-Mu Kwon¹, Young-Hoon Roh³, Byung-Ryul Cho¹⁵

Affiliations

¹ Department of Radiologic technology, Daegu Health College, Daegu, Korea.
² Division of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University, School of Medicine, Chuncheon, Korea.
³ Department of Health and Safety Convergence Science, College of Health Science, Korea University, Seoul, Korea.
⁴ Division of Cardiology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University, College of Medicine, Busan, Korea.
⁵ Division of Cardiology, Department of Internal Medicine, Inje University Ilsan-Paik Hospital, Inje University, College of Medicine, Goyang, Korea.
⁶ Division of Cardiology, Department of Internal Medicine, Chungnam National University, School of Medicine, Daejeon, Korea.
⁷ Division of Cardiology, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.
⁸ Division of Cardiology, Department of Internal Medicine, Yeungnam University Hospital, Yeungnam University, School of Medicine, Daegu, Korea.
⁹ Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University, School of Medicine, Chonnam, Korea.
¹⁰ Division of Cardiology, Department of Internal Medicine, Chonbuk National University Hospita, Chonbuk National University, School of Medicine, Chonbuk, Korea.
¹¹ Division of Cardiology, Department of Internal Medicine, Ajou University Hospital, Ajou University, School of Medicine, Kyeonggi, Korea.
¹² Division of Cardiology, Department of Internal Medicine, Yonsei University Wonju, College of Medicine, Wonju, Korea.
¹³ Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
¹⁴ Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
¹⁵ Division of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University, School of Medicine, Chuncheon, Korea. heartcho@kangwon.ac.kr.

Abstract

Medical radiation exposure is a significant concern for interventional cardiologists (IC). This study was aimed at estimating the radiation exposure of IC operators and assistants in real clinical practice. The radiation exposure of the operator and assistant was evaluated by conducting two types of procedures via coronary angiography (CAG) and percutaneous coronary intervention (PCI) on 1090 patients in 11-cardiovascular centers in Korea. Radiation exposure was measured using an electronic personal dosimeter (EPD). EPD were attached at 3 points on each participant: on the apron on the left anterior chest (A1), under the apron on the sternum (A2), and on the thyroid shield (T). Average radiation exposure (ARE) of operators at A1, A2, and T was 19.219 uSv, 4.398 uSv, and 16.949 uSv during CAG and 68.618 uSv, 15.213 uSv, and 51.197 uSv during PCI, respectively. ARE of assistants at A1, A2, and T was 4.941 uSv, 0.860 uSv, and 5.232 uSv during CAG and 20.517 uSv, 4.455 uSv, and 16.109 uSv during PCI, respectively. AED of operator was 3.4 times greater during PCI than during CAG.

Publication types

Clinical Trial
Multicenter Study
Research Support, Non-U.S. Gov't

MeSH terms

Coronary Angiography*
Female
Femoral Artery / diagnostic imaging*
Humans
Male
Middle Aged
Occupational Exposure*
Percutaneous Coronary Intervention*
Radial Artery / diagnostic imaging*
Radiation Dosage*
Radiation Exposure*