title: Radiation exposure and safety for the electrophysiologist.
abstract: This review attempts to give practical advice for invasive electrophysiologists on personal radiation protection. Applying all measures of the "As low as reasonably achievable" ALARA concept should be a daily and indeed routine practice for all staff in the electrophysiology laboratory. A substantial number of technical options have been recently introduced which may enable the physician to lower the total radiation exposure significantly, but all require a substantial learning curve. Using these measures can arrive at very low or indeed close to ZERO fluoroscopy exposure even in complex ablation cases.
authors.affiliation: Department of Cardiology, Royal Brompton and Harefield NHS Foundation Trust and Imperial College, Sydney Street, SW3 6NP, London, UK. s.ernst@rbht.nhs.uk
authors.forename: Sabine
authors.initials: S
authors.lastname: Ernst
authors.forename: Isabel
authors.initials: I
authors.lastname: Castellano
mesh_terms: D017115:Catheter Ablation / Q000379:methods; D022062:Electrophysiologic Techniques, Cardiac / Q000009:adverse effects* / Q000379:methods; D005471:Fluoroscopy / Q000009:adverse effects; D006282:Health Personnel; D006801:Humans; D016273:Occupational Exposure / Q000517:prevention & control*; D011829:Radiation Dosage; D011835:Radiation Protection / Q000379:methods*; D015641:Radiography, Interventional / Q000009:adverse effects* / Q000379:methods; D017751:Safety Management / Q000379:methods
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