Shaghaghi Zahra, Javid Roozbeh Narimani, Alvandi Maryam
Cancer Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran.
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Curr Cardiol Rev. 2025;21(1):e1573403X304828. doi: 10.2174/011573403X304828240819050538.
Radiation exposure poses a substantial occupational risk for healthcare professionals in the catheterization laboratory (cath lab). The escalating complexity and frequency of interventional procedures, such as cardiac catheterizations and percutaneous coronary interventions, underscore the need for innovative strategies to mitigate radiation exposure. While traditional measures like lead aprons, thyroid collars, and goggles have been pivotal in reducing radiation exposure, they have limitations, especially during prolonged and intricate procedures. Consequently, there is a growing demand for advanced radiation protection methods that prioritize safety without compromising procedural efficacy. Recent strides in radiation protection technology have given rise to novel shielding devices and zero-radiation approaches tailored for cath lab use. The novel shields leverage innovative materials and designs to achieve superior attenuation of both scattered and direct radiation. Their ergonomic and adjustable features also ensure optimal shielding coverage without impeding the operator's skill or workflow. Multiple studies have validated the effectiveness of these advanced radiation protection methods in diminishing occupational radiation exposure in the cath lab. Initial findings suggest a significant reduction in doses for operators and staff, potentially lowering the risk of radiation-induced health complications over the long term. This article provides a comprehensive review of the current landscape of radiation protection shields in the cath lab, emphasizing the efficacy and potential of these cuttingedge shielding technologies.
在导管实验室(心导管室)中,辐射暴露对医护人员构成了重大职业风险。诸如心脏导管插入术和经皮冠状动脉介入治疗等介入手术的复杂性和频率不断增加,凸显了采取创新策略来减轻辐射暴露的必要性。虽然铅围裙、甲状腺防护颈圈和护目镜等传统措施在减少辐射暴露方面发挥了关键作用,但它们存在局限性,尤其是在长时间和复杂的手术过程中。因此,对先进辐射防护方法的需求日益增长,这些方法要在不影响手术效果的前提下优先保障安全。辐射防护技术的最新进展催生了专为心导管室使用而设计的新型屏蔽设备和零辐射方法。新型屏蔽装置利用创新材料和设计,实现对散射辐射和直接辐射的卓越衰减。其符合人体工程学的可调节特性还确保了最佳的屏蔽覆盖范围,同时不妨碍操作人员的技能发挥或工作流程。多项研究证实了这些先进辐射防护方法在减少心导管室职业辐射暴露方面的有效性。初步研究结果表明,操作人员和工作人员的剂量显著降低,从长远来看可能降低辐射诱发健康并发症的风险。本文全面综述了心导管室辐射防护屏蔽装置的现状,强调了这些前沿屏蔽技术的功效和潜力。