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实施“无铅（围裙）”心脏导管术：现状。

Implementing a 'Lead [Apron]-Free' Cardiac Catheterization: Current Status.

机构信息

Division of Cardiology, University of California, Irvine, California, USA.

Division of Internal Medicine, University of California, Irvine, California, USA.

出版信息

Curr Cardiol Rep. 2024 Sep;26(9):1021-1029. doi: 10.1007/s11886-024-02102-w. Epub 2024 Jul 25.

DOI:10.1007/s11886-024-02102-w
PMID:39052162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11379795/
Abstract

PURPOSE OF REVIEW

In this review, we discuss the status of novel radiation shielding and other methods to reduce radiation exposure and its associated health risks within the CCL.

RECENT FINDINGS

There are many devices on the market each with its unique advantages and inherent flaws. Several are available for widespread use with promising data, while others still in development. The field of percutaneous transcatheter interventions includes complex procedures often involving significant radiation exposure. Increased radiation exposes the proceduralist and CCL staff to potential harm from both direct effects of radiation but also from the ergonomic consequences of daily use of heavy personal protective equipment. Here we discuss several innovative efforts to reduce both radiation exposure and orthopedic injury within the CCL that are available, leading to a safer daily routine in a "lead [apron]-free" environment.

摘要

目的综述

在本次综述中，我们讨论了新型辐射屏蔽材料和其他降低 CCL 内辐射暴露及其相关健康风险的方法的现状。

最新发现

市场上有许多设备，每种设备都有其独特的优点和固有的缺陷。有一些设备已经广泛使用，并具有有前景的数据，而其他设备仍在开发中。经皮介入治疗领域包括复杂的程序，通常涉及大量的辐射暴露。增加的辐射会使介入医生和 CCL 工作人员受到潜在的伤害，不仅来自辐射的直接影响，还来自日常使用重型个人防护设备的人体工程学后果。在这里，我们讨论了几种可用于减少 CCL 内辐射暴露和骨科损伤的创新方法，这些方法可导致在“无铅围裙”环境中实现更安全的日常工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/041532edf643/11886_2024_2102_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/a9916e3f54e4/11886_2024_2102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7ee98ea195d6/11886_2024_2102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/75a637ab2371/11886_2024_2102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/5a191a44c2b5/11886_2024_2102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7356f1ef5348/11886_2024_2102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7d080a19ff0c/11886_2024_2102_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/3552a431f15f/11886_2024_2102_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/041532edf643/11886_2024_2102_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/a9916e3f54e4/11886_2024_2102_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7ee98ea195d6/11886_2024_2102_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/75a637ab2371/11886_2024_2102_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/5a191a44c2b5/11886_2024_2102_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7356f1ef5348/11886_2024_2102_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/7d080a19ff0c/11886_2024_2102_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/3552a431f15f/11886_2024_2102_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b43/11379795/041532edf643/11886_2024_2102_Fig8_HTML.jpg

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本文引用的文献

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2
Update on Radiation Safety in the Cath Lab - Moving Toward a "Lead-Free" Environment.导管室辐射安全的最新进展——迈向“无铅”环境
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3
Comprehensive Radiation Shield Minimizes Operator Radiation Exposure and Obviates Need for Lead Aprons.
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J Soc Cardiovasc Angiogr Interv. 2023 Mar 21;2(3):100603. doi: 10.1016/j.jscai.2023.100603. eCollection 2023 May-Jun.
4
A novel robotic radiation shielding device for electrophysiologic procedures: A prospective study.新型机器人辐射屏蔽装置在电生理程序中的应用：一项前瞻性研究。
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