Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: a comprehensive analysis.
OBJECTIVE
To perform a comprehensive analysis of all aspects of patient and in-room personnel radiation dosimetry in interventional electrophysiology.


RESULTS
Measurements were performed during 19 diagnostic electrophysiology studies and 24 catheter ablations. Kerma-area product and exposure time values were 48.7 (6.4-230) Gy cm2 and 25.5 (4.4-79.2) min for ablation, and 12.5 (4.5-117.2) Gy cm2 and 4.5 (1.2-31) min for diagnostic studies, respectively. Patient effective doses were 15.2 (2.1-59.6) mSv for ablation and 3.2 (1.3-23.9) mSv for diagnostic procedures. Radiation risk to the patient was estimated to be up to eight cases of fatal cancer in 10,000 procedures. The risk of development of fatal cancer was less than 3x10(-6) per procedure to the primary operator. The risk for the nurse and technician was much lower. The dose per procedure for the primary operator was 7.1 microGy at the eyes, 0.79 microGy at the chest under the lead apron, 13.68 microGy at the chest over the apron, 3.82 microGy at the thyroid, 17.76 microGy at the left hand, and 12.11 microGy at the left knee.


CONCLUSIONS
As far as radiation exposure is concerned, electrophysiology studies followed by radiofrequency ablation are safe procedures for both patient and personnel when performed in catheterization laboratories with modern equipment, experienced operators, and standard safety precautions.
Efstathopoulos
Efstathios P
EP
2nd Department of Radiology, Medical Physics Unit, University of Athens, Athens, Greece.
Katritsis
Demosthenes G
DG
Kottou
Sofia
S
Kalivas
Nectarios
N
Tzanalaridou
Efthalia
E
Giazitzoglou
Eleftherios
E
Korovesis
Socrates
S
Faulkner
Keith
K
D017115:Catheter Ablation / Q000009:adverse effects* / Q000592:standards; D022062:Electrophysiologic Techniques, Cardiac / Q000009:adverse effects* / Q000592:standards; D006801:Humans; D016273:Occupational Exposure; D019047:Phantoms, Imaging; D011829:Radiation Dosage; D011835:Radiation Protection; D015641:Radiography, Interventional / Q000009:adverse effects*; D011874:Radiometry / Q000379:methods*; D018570:Risk Assessment