Editor's choice--Use of disposable radiation-absorbing surgical drapes results in significant dose reduction during EVAR procedures.
OBJECTIVE
Because of the increasing number of interventional endovascular procedures with fluoroscopy and the corresponding high annual dose for interventionalists, additional dose-protecting measures are desirable. The purpose of this study was to evaluate the effect of disposable radiation-absorbing surgical drapes in reducing scatter radiation exposure for interventionalists and supporting staff during an endovascular aneurysm repair (EVAR) procedure.


METHODS
This was a randomized control trial in which 36 EVAR procedures were randomized between execution with and without disposable radiation-absorbing surgical drapes (Radpad: Worldwide Innovations & Technologies, Inc., Kansas City, US, type 5511A). Dosimetric measurements were performed on the interventionalist (hand and chest) and theatre nurse (chest) with and without the use of the drapes to obtain the dose reduction and effect on the annual dose caused by the drapes.


RESULTS
Use of disposable radiation-absorbing surgical drapes resulted in dose reductions of 49%, 55%, and 48%, respectively, measured on the hand and chest of the interventionalist and the chest of the theatre nurse.


CONCLUSIONS
The use of disposable radiation-absorbing surgical drapes significantly reduces scatter radiation exposure for both the interventionalist and the supporting staff during EVAR procedures.
Department of Medical Physics, ICMT, Catharina Hospital, Eindhoven, The Netherlands.
C
C
Kloeze
Department of Radiology, Catharina Hospital, Eindhoven, The Netherlands.
E G
EG
Klompenhouwer
Department of Medical Physics, ICMT, Catharina Hospital, Eindhoven, The Netherlands.
P J M
PJ
Brands
Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands.
M R H M
MR
van Sambeek
Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands.
P W M
PW
Cuypers
Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPHRI Research School, Maastricht University, Maastricht, The Netherlands. Electronic address: joep.teijink@catharinaziekenhuis.nl.
J A W
JA
Teijink
D057510:Endovascular Procedures; D004867:Equipment Design; D006801:Humans; D016272:Occupational Health; D009871:Operating Room Nursing; D015642:Radiology, Interventional; D011874:Radiometry; D058636:Surgical Drapes
Dosimetry; Endovascular; Fluoroscopy; Occupational radiation exposure; Radiation; Surgical drapes