title: Performance of a radiation protection cabin during extraction of cardiac devices.
abstract: BACKGROUND
  Operators who extract cardiac devices are exposed to considerable irradiation and excess risk of radiation-induced disorders. A dedicated radioprotection cabin was developed to offer complete protection against radiation. This randomized study was designed to ascertain the protection against radiation conferred by a radioprotection cabin and the safety during extraction of cardiac devices.
  
  
  METHODS
  Thirty-seven consecutive patients who presented with an indication for extraction of a cardiac device were randomly assigned to a standard extraction technique (n = 19), vs extraction with the use of a radiation protection cabin (n = 18). Fluoroscopic exposure was compared using electronic dosimeters placed on the thorax, back, foot, and head of the operator.
  
  
  RESULTS
  The procedural times and total fluoroscopic exposure times and the complication rates were not significantly different between the 2 groups. The mean dose of radiation delivered to the thorax and back was similar in both groups (P = 0.3 and P = 0.8, respectively). In contrast, the mean doses of radiation delivered to the head and to the feet were respectively 68 and 390 times less in the cabin group than in the control group (P < 0.001).
  
  
  CONCLUSIONS
  The cabin offers nearly full body radioprotection and eliminates the need to wear a lead apron, without increasing procedural time or complication rate during cardiac device extraction.
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France. Electronic address: sylvain.ploux@gmail.com.
authors.forename: Sylvain
authors.initials: S
authors.lastname: Ploux
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Jesel
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France; Clermont Université, ISIT-CaVITI, UMR6284, and CHU Clermont-Ferrand, Cardiology Department, Clermont-Ferrand, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Eschalier
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France.
authors.forename: Sana
authors.initials: S
authors.lastname: Amraoui
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Ritter
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Haïssaguerre
authors.affiliation: Hôpital Cardiologique Haut Leveque, University Bordeaux 2, LIRYC, L'Institut de rythmologie et modélisation cardiaque, Bordeaux-Pessac, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Bordachar
mesh_terms: D020878:Device Removal / Q000379:methods*; D004307:Dose-Response Relationship, Radiation; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000517:prevention & control; D010138:Pacemaker, Artificial; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control*; D011835:Radiation Protection / Q000295:instrumentation*; D011874:Radiometry / Q000379:methods