Department of Internal Medicine and Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Heart Lung Circ. 2011 Feb;20(2):83-90. doi: 10.1016/j.hlc.2010.11.006.
Concerns regarding radiation exposure and its effects during pregnancy are often quoted as an important barrier preventing many women from pursuing a career in Interventional Cardiology. Finding the true risk of radiation exposure from performing cardiac catheterisation procedures can be challenging and guidelines for pregnancy exposure have been inadequate. The Women in Innovations group of Cardiologists with endorsement of the Society for Cardiovascular Angiography and Interventions aim to provide guidance in this publication by describing the risk of radiation exposure to pregnant physicians and cardiac catheterisation personnel, to educate on appropriate radiation monitoring and to encourage mechanisms to reduce radiation exposure. Current data do not suggest a significant increased risk to the foetus of pregnant women in the cardiac catheterisation laboratory and thus do not justify precluding pregnant physicians from performing procedures in the cardiac catheterisation laboratory. However, radiation exposure amongst pregnant physicians should be properly monitored and adequate radiation safety measures are still warranted.
人们常援引辐射暴露及其在怀孕期间的影响,作为阻止许多女性从事介入心脏病学职业的一个重要障碍。要发现进行心脏导管术时辐射暴露的真实风险具有挑战性,且针对妊娠暴露的指南并不完善。心血管造影和介入学会的女性创新者小组在医生的支持下,旨在通过描述对怀孕医生和心脏导管术人员的辐射暴露风险,就适当的辐射监测进行教育,并鼓励减少辐射暴露的机制,来为本次出版物提供指导。目前的数据并未表明在心脏导管术实验室中,孕妇胎儿的风险显著增加,因此没有理由禁止孕妇在心脏导管术实验室中进行操作。然而,应适当监测怀孕医生的辐射暴露情况,并且仍需要采取充分的辐射安全措施。