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World J Cardiol. Jan 26, 2022; 14(1): 1-12
Published online Jan 26, 2022. doi: 10.4330/wjc.v14.i1.1
Radiation protection for the interventional cardiologist: Practical approach and innovations
Alejandro Gutierrez-Barrios, Dolores Cañadas-Pruaño, Inmaculada Noval-Morillas, Livia Gheorghe, Ricardo Zayas-Rueda, German Calle-Perez
Alejandro Gutierrez-Barrios, Dolores Cañadas-Pruaño, Inmaculada Noval-Morillas, Livia Gheorghe, Ricardo Zayas-Rueda, German Calle-Perez, Department of Cardiology, Hospital Puerta del Mar, Cadiz 11009, Spain
Author contributions: Gutierrez-Barrios A and Cañadas-Pruaño D contributed to the conception, design, analysis, and interpretation of the data; Noval-Morillas I, Gheorghe L, Zayas-Rueda R, and Calle-Perez G contributed to critically revising and drafting the manuscript; Gutierrez-Barrios A, Cañadas-Pruaño D, and Noval-Morillas I contributed to the analyses and interpretation of the data; all authors have approved the final version of the manuscript submitted.
Conflict-of-interest statement: All of the authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alejandro Gutierrez-Barrios, MD, PhD, Consultant Physician-Scientist, Staff Physician, Department of Cardiology, Hospital Puerta del Mar, Av. Ana de Viya, 21, Cadiz 11009, Spain. aleklos@hotmail.com
Received: February 28, 2021
Peer-review started: February 28, 2021
First decision: July 30, 2021
Revised: September 6, 2021
Accepted: December 21, 2021
Article in press: December 21, 2021
Published online: January 26, 2022
Processing time: 324 Days and 15.2 Hours
Abstract

Use of ionizing radiation during cardiac catheterization interventions adversely impacts both the patients and medical staff. In recent years, radiation dose in cardiac catheterization interventions has become a topic of increasing interest in interventional cardiology and there is a strong interest in reducing radiation exposure during the procedures. This review presents the current status of radiation protection in the cardiac catheterization laboratory and summarizes a practical approach for radiation dose management for minimizing radiation exposure. This review also presents recent innovations that have clinical potential for reducing radiation during cardiac interventions.

Keywords: Radiation, Cardiac catheterization, Quality improvement, Cathlab, Ionizing radiation

Core Tip: Radiation safety is of concern to catheterization laboratory personnel. In recent years, radioprotection has become a priority in cardiac catheterization interventions and there is keen interest in reducing radiation exposure during the procedures. This review presents the current status of radiation protection in the cardiac catheterization laboratory and summarizes traditional protection mechanism and innovations.