• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

导管室辐射安全的最新进展——迈向“无铅”环境

Update on Radiation Safety in the Cath Lab - Moving Toward a "Lead-Free" Environment.

作者信息

Roguin Ariel, Wu Perry, Cohoon Travis, Gul Fahad, Nasr George, Premyodhin Ned, Kern Morton J

机构信息

Department of Cardiology, Hillel Yaffe Medical Center, Hadera, Israel.

Faculty of Medicine, Technion - Israel Institute of Technology, Israel.

出版信息

J Soc Cardiovasc Angiogr Interv. 2023 Jun 2;2(4):101040. doi: 10.1016/j.jscai.2023.101040. eCollection 2023 Jul-Aug.

DOI:10.1016/j.jscai.2023.101040
PMID:39131633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11307637/
Abstract

Radiation exposure in the cardiac catheterization laboratory (CCL) is an occupational hazard that predisposes health care workers to the development of adverse health effects such as cataracts, cancer, and orthopedic injury. To mitigate radiation exposure, personal protective shielding as well as permanently installed shields reduces these adverse effects. Yet, heavy protective lead aprons and poor ergonomics required for positioning movable shields remain barriers to a safer environment. Recent innovations to enhance personal protective equipment and revolutionize fixed shielding systems will permit the CCL team to work in a personal "lead-free" environment, markedly reducing occupational hazards. The purpose of this review is to update the status and future of radiation protection in the CCL.

摘要

心脏导管插入实验室(CCL)中的辐射暴露是一种职业危害,会使医护人员更容易出现白内障、癌症和骨科损伤等不良健康影响。为了减轻辐射暴露,个人防护屏蔽以及永久安装的屏蔽可减少这些不良影响。然而,厚重的防护铅围裙以及移动屏蔽定位所需的不良人体工程学设计仍然是实现更安全环境的障碍。近期在增强个人防护设备和彻底变革固定屏蔽系统方面的创新将使CCL团队能够在个人“无铅”环境中工作,显著降低职业危害。本综述的目的是更新CCL中辐射防护的现状和未来发展情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/a720c8fa518a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/589e61aee510/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/c67703d45df2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/1dbd32e6e804/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/87ef423e6d83/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/1d96128efe23/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/084d03d783af/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/6ddd734c378b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/9e663843ecba/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/04a7ee593661/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/782fb41d97ce/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/ec2d6e414841/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/31f3657ed298/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/a720c8fa518a/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/589e61aee510/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/c67703d45df2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/1dbd32e6e804/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/87ef423e6d83/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/1d96128efe23/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/084d03d783af/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/6ddd734c378b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/9e663843ecba/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/04a7ee593661/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/782fb41d97ce/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/ec2d6e414841/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/31f3657ed298/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dff/11307637/a720c8fa518a/gr11.jpg

相似文献

1
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
J Soc Cardiovasc Angiogr Interv. 2023 Jun 2;2(4):101040. doi: 10.1016/j.jscai.2023.101040. eCollection 2023 Jul-Aug.
2
Shields and garb for decreasing radiation exposure in the cath lab.心导管室中降低辐射暴露的屏蔽和防护设备。
Expert Rev Med Devices. 2018 Sep;15(9):683-688. doi: 10.1080/17434440.2018.1510771. Epub 2018 Aug 20.
3
Advancements in Cardiac Catheterization Safety: Novel Radiation Protection Approaches Redefining Occupational Health.心脏导管插入术安全性的进展:新型辐射防护方法重新定义职业健康。
Curr Cardiol Rev. 2025;21(1):e1573403X304828. doi: 10.2174/011573403X304828240819050538.
4
Implementing a 'Lead [Apron]-Free' Cardiac Catheterization: Current Status.实施“无铅(围裙)”心脏导管术:现状。
Curr Cardiol Rep. 2024 Sep;26(9):1021-1029. doi: 10.1007/s11886-024-02102-w. Epub 2024 Jul 25.
5
A novel comprehensive radiation shielding system eliminates need for personal lead aprons in the catheterization laboratory.一种新型综合辐射屏蔽系统使导管实验室不再需要个人铅围裙。
Catheter Cardiovasc Interv. 2023 Jan;101(1):79-86. doi: 10.1002/ccd.30490. Epub 2022 Dec 1.
6
A novel complete radiation protection system eliminates physician radiation exposure and leaded aprons.一种新型的完备辐射防护系统可消除医生的辐射暴露和铅围裙。
Catheter Cardiovasc Interv. 2013 Jul 1;82(1):11-6. doi: 10.1002/ccd.24625. Epub 2012 Dec 21.
7
Comprehensive Radiation Shield Minimizes Operator Radiation Exposure and Obviates Need for Lead Aprons.综合辐射防护装置可将操作人员的辐射暴露降至最低,并消除对铅围裙的需求。
J Soc Cardiovasc Angiogr Interv. 2023 Mar 21;2(3):100603. doi: 10.1016/j.jscai.2023.100603. eCollection 2023 May-Jun.
8
An In-depth Analysis of the Adverse Effects of Ionizing Radiation Exposure on Cardiac Catheterization Staffs.深入分析电离辐射对心导管室工作人员的不良影响。
Curr Radiopharm. 2024;17(3):219-228. doi: 10.2174/0118744710283181231229112417.
9
What Leads to Lead: Results of a Nationwide Survey Exploring Attitudes and Practices of Orthopaedic Surgery Residents Regarding Radiation Safety.导致接触铅的因素:一项全国范围的调查结果,旨在探讨骨科住院医师对辐射安全的态度和实践。
J Bone Joint Surg Am. 2018 Feb 7;100(3):e16. doi: 10.2106/JBJS.17.00604.
10
A Novel Shielding Device for Cardiac Cath Labs.一种新型心脏导管室屏蔽装置
Health Phys. 2025 Jan 1;128(1):52-59. doi: 10.1097/HP.0000000000001890. Epub 2024 Sep 19.

引用本文的文献

1
Variability in State-Level Regulations Regarding Occupational Radiation Exposure.关于职业辐射暴露的州级法规的差异。
J Soc Cardiovasc Angiogr Interv. 2025 Apr 30;4(6):103597. doi: 10.1016/j.jscai.2025.103597. eCollection 2025 Jun.
2
Occupational Health Hazards in the Cardiac Catheterization Laboratory: Results of the 2023 SCAI Survey.心脏导管实验室中的职业健康危害:2023年心血管造影和介入学会(SCAI)调查结果
J Soc Cardiovasc Angiogr Interv. 2025 Mar 4;4(4):102493. doi: 10.1016/j.jscai.2024.102493. eCollection 2025 Apr.
3
Differences in Radiation Use in Left Atrial Appendage Occlusion Procedures Among Electrophysiology and Structural Operators.

本文引用的文献

1
Evaluation of a New Real-Time Dosimeter Sensor for Interventional Radiology Staff.用于介入放射科工作人员的新型实时剂量计传感器的评估
Sensors (Basel). 2023 Jan 3;23(1):512. doi: 10.3390/s23010512.
2
Comparison of radiation exposure associated with transradial and transfemoral access: An updated meta-analysis.经桡动脉与经股动脉入路相关辐射暴露的比较:一项更新的荟萃分析。
Catheter Cardiovasc Interv. 2023 Jan;101(1):87-96. doi: 10.1002/ccd.30513. Epub 2022 Dec 9.
3
A novel comprehensive radiation shielding system eliminates need for personal lead aprons in the catheterization laboratory.
电生理与结构性手术医生在左心耳封堵手术中放射使用情况的差异。
J Soc Cardiovasc Angiogr Interv. 2025 Jan 21;4(1):102458. doi: 10.1016/j.jscai.2024.102458. eCollection 2025 Jan.
4
What Is Needed to Encourage Women to Choose Careers in Interventional Cardiology.需要做些什么来鼓励女性选择介入心脏病学领域的职业。
J Soc Cardiovasc Angiogr Interv. 2024 Sep 20;3(9):102252. doi: 10.1016/j.jscai.2024.102252. eCollection 2024 Sep.
5
Radiation Exposure and Protection for (Assumed) Pregnant Interventional Cardiologists and Electrophysiologists.(假定的)怀孕介入心脏病专家和电生理学家的辐射暴露与防护
J Soc Cardiovasc Angiogr Interv. 2024 Sep 20;3(9):102239. doi: 10.1016/j.jscai.2024.102239. eCollection 2024 Sep.
6
An intuitive guidewire control mechanism for robotic intervention.一种用于机器人介入的直观导丝控制机制。
Int J Comput Assist Radiol Surg. 2025 Feb;20(2):333-344. doi: 10.1007/s11548-024-03279-9. Epub 2024 Oct 7.
7
Implementing a 'Lead [Apron]-Free' Cardiac Catheterization: Current Status.实施“无铅(围裙)”心脏导管术:现状。
Curr Cardiol Rep. 2024 Sep;26(9):1021-1029. doi: 10.1007/s11886-024-02102-w. Epub 2024 Jul 25.
8
Differing radiation exposure in scrub technicians and rotating staff in Cardiac catheterization laboratory: occupation matters.心脏导管实验室中刷手技术员和轮转人员的辐射暴露差异:职业很重要。
Egypt Heart J. 2024 Feb 9;76(1):18. doi: 10.1186/s43044-024-00448-8.
一种新型综合辐射屏蔽系统使导管实验室不再需要个人铅围裙。
Catheter Cardiovasc Interv. 2023 Jan;101(1):79-86. doi: 10.1002/ccd.30490. Epub 2022 Dec 1.
4
Risk of ionizing radiation in pregnancy: just a myth or a real concern?孕期电离辐射风险:仅仅是一个神话,还是一个真正值得关注的问题?
Europace. 2023 Feb 16;25(2):270-276. doi: 10.1093/europace/euac158.
5
Assessment of occupational dose reduction with the use of a floor mounted mobile lead radiation protection shield.使用落地式移动铅辐射防护屏降低职业剂量的评估。
J Radiol Prot. 2022 Aug 2;42(3). doi: 10.1088/1361-6498/ac8203.
6
Comparison of Radiation Exposure Among Interventional Echocardiographers, Interventional Cardiologists, and Sonographers During Percutaneous Structural Heart Interventions.经皮结构性心脏病介入治疗期间介入超声心动图医师、介入心脏病学家和超声技师的辐射暴露比较。
JAMA Netw Open. 2022 Jul 1;5(7):e2220597. doi: 10.1001/jamanetworkopen.2022.20597.
7
Minimizing scattered radiation dose in cardiac catheterization laboratory during interventional procedures using lead free drape - MILD study.在介入手术中使用无铅遮罩最小化心血管造影导管室中的散射辐射剂量 - MILD 研究。
Indian Heart J. 2022 May-Jun;74(3):201-205. doi: 10.1016/j.ihj.2022.04.001. Epub 2022 Apr 12.
8
Factors affecting radiation exposure during transradial cardiac catheterisation and percutaneous coronary intervention.影响经桡动脉心导管术和经皮冠状动脉介入治疗中辐射暴露的因素。
Clin Radiol. 2022 May;77(5):e387-e393. doi: 10.1016/j.crad.2022.02.007. Epub 2022 Mar 5.
9
Occupational exposure to physicians working with a Zero-Gravity™ protection system in haemodynamic and electrophysiology labs and the assessment of its performance against a standard ceiling suspended shield.职业性接触:在血流动力学和电生理实验室中使用 Zero-Gravity™ 保护系统的医生,以及评估其相对于标准天花板悬挂屏蔽的性能。
Radiat Environ Biophys. 2022 May;61(2):293-300. doi: 10.1007/s00411-022-00968-4. Epub 2022 Feb 26.
10
Radiation protection for the interventional cardiologist: Practical approach and innovations.介入心脏病专家的辐射防护:实用方法与创新
World J Cardiol. 2022 Jan 26;14(1):1-12. doi: 10.4330/wjc.v14.i1.1.