High patient doses in interventional cardiology due to physicians' negligence: how can they be prevented?

Abstract:

:Interventional cardiology procedures are usually associated with high patient doses and even deterministic radiation effects may occur. Expensive digital flat panels are preferably used to lower doses, and Athens General Hospital has recently installed one. However, this study shows that it is the cardiologists' practice that lowers patients' doses. Doses delivered to patients during two time periods (pre and after radiation protection training) on a total of 1196 coronary angiographies and 506 percutaneous transluminal coronary angioplasties were measured and analysed per cardiologist. Local reference levels (LRLs) were assessed and compared with the preliminary RLs provided by the European Research Program DIMOND. Results showed that although after the training patients' dose area product, fluoroscopy time, cumulative dose and number of images acquired were lowered, the situation remained unchanged for the cardiologist who delivered the highest doses. The question to answer next is how this bad practice can be prevented since no dose constraints apply to diagnostic or therapeutic procedures using ionising radiation.

journal_name

Radiat Prot Dosimetry

authors

Mavrikou I,Kottou S,Tsapaki V,Neofotistou V

doi

10.1093/rpd/ncn005

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

67-70

issue

1-3

eissn

0144-8420

issn

1742-3406

pii

ncn005

journal_volume

129

pub_type

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