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General Thoracic and Cardiovascular Surgery

Published in:

01-04-2022 | Transcatheter Aortic Valve Implantation | Original Article

Impact of radiation to the eye of operators during endo-cardiovascular surgery and the importance of protection

Authors: Junki Yokota, Toru Kuratani, Kazuo Shimamura, Takayuki Shijo, Kizuku Yamashita, Toru Ide, Ryota Matsumoto, Shigeru Miyagawa

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2022

Abstract

Objective

To verify the amount of radiation exposure to the eye of operators during endocardiovascular surgery (ECVS) in hybrid operating room (HOR), which increases the risk of cataracts in surgeons.

Methods

Fifty cases of ECVS (including 36 transcatheter aortic valve implantation and 14 thoracic endovascular repair) using the transfemoral approach performed from February 2020 to July 2020 were included. A measurement device was attached to the left side of the head of the operators and their assistants to measure the cumulative dose (CD) of intraoperative radiation exposure. The subjects were divided into the control group (Group C, n = 26), received conventional protection using the protective curtain in HOR and the protected group (Group R, n = 24), received conventional protection and protection sheet. The normalized CD by dose area product (CD/DAP) was evaluated.

Results

The CD/DAP of the surgeons was significantly decreased in Group R, averaging at 5.97 μSV/Gy cm² in Group C group and 4.40 μSV/Gy cm² in Group R (p < 0.01). Moreover, CD/DAP of the assistant was significantly reduced in the Group R, with an average of 1.87 μSV/Gy cm² in the Group C and 1.01 μSV/Gy cm² in Group R (p < 0.01).

Conclusions

The radiation exposure to the surgeon’s eye could be significantly reduced by protection sheet.

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Title: Impact of radiation to the eye of operators during endo-cardiovascular surgery and the importance of protection
Authors: Junki Yokota
Toru Kuratani
Kazuo Shimamura
Takayuki Shijo
Kizuku Yamashita
Toru Ide
Ryota Matsumoto
Shigeru Miyagawa
Publication date: 01-04-2022
Publisher: Springer Singapore
Keywords: Transcatheter Aortic Valve Implantation
Radiation Protection
Published in: General Thoracic and Cardiovascular Surgery / Issue 4/2022
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-021-01701-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of radiation to the eye of operators during endo-cardiovascular surgery and the importance of protection

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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