ORSIF
NOVEMBER 2015
TOPICS:
BRAIN Study shows 4.7x higher radiation
REVERE Trial shows significant increase in exposure during left radial cases
Spotlight on orthopedic injury in the cath lab
Radiation is a main reason for low % of female cardiologists
 
NON-PROFIT ORGANIZATION RAISES AWARENESS OF HEALTH RISKS ASSOCIATED WITH INTERVENTIONAL FLUOROSCOPY LABS
The Organization for Occupational Radiation Safety in Interventional Fluoroscopy (ORSIF) is a non-profit association created to generate awareness of the potential serious health risks, including cancer and career-threatening orthopedic problems, linked to the use of fluoroscopy in hospital catheterization labs and outpatient radiographic diagnostic laboratories. ORSIF raises awareness of these dangers and focuses on advocating for better safety measures to protect the physicians and staff that work in these labs.
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ARTICLES HIGHLIGHTING OCCUPATIONAL HAZARDS IN THE FLUOROSCOPY LABORATORY
JACC:
Invasive Cardiologists Are Exposed to Greater Left Sided Cranial Radiation - The BRAIN Study (Brain Radiation Exposure and Attenuation during Invasive Cardiology Procedures)
Results showed exposure on the outside left side of the head was 4.7 times higher than the outside right location after subtracting ambient radiation
Single-center prospective study in which eleven operators performed 66.2 ± 27 cases each
Radiation exposure to invasive cardiologists is significantly higher on the left and center compared with the right side of the cranium. Exposure may be reduced similar to an ambient control level by wearing a non-lead XPF cap
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JACC:
Effect of Vascular Access Site Choice on Radiation Exposure during Coronary Angiography - The REVERE Trial (Randomized Evaluation of Vascular Entry Site and Radiation Exposure)
Randomized non-inferiority trial comparing femoral access with left and right radial access in 1493 patients
Operator dose per procedure measured and recorded
Results show median operator exposure was significantly higher in the left radial access groups (3 mrem) compared with femoral access (2 mrem).
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Spotlight on Physical Stressors in the Cath Lab – Orthopedic Injuries
Radiation exposure is a well-recognized occupational hazard for interventional cardiologists but heavy personal protective gear has been linked to neck, spine, hip, and knee injuries.
A survey of 1,543 employees at various US hospitals reports employees who worked with radiation were more likely to experience musculoskeletal pain compared with other healthcare workers (54.7% vs. 44.7%).
Immediate past president of the Society for Cardiovascular Angiography and Interventions, Charles E. Chambers, MD, FSCAI, states "Now that we have addressed [radiation exposure to] the patient, it is time to start addressing the operator and staff."
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EuroIntervention: Survey States "Lack of Opportunity" and "Radiation" as the Main Reasons for Women Not Choosing to Become an Interventional Cardiologist.
Women comprise less than 5% of practicing interventional cardiologists. It is speculated the reason for this low percentage is the long work hours and unpredictable schedule, especially during the years of raising a young family. To better understand this, 1,787 members of the European Society of Cardiology (ESC) were surveyed to identify the barriers to women choosing interventional cardiology as a subspecialty. Results show lack of opportunity and fear of radiation exposure as the most common reasons, for both men and woman respondents. A greater emphasis on radiation safety for the primary operator may be needed to break the trend of underrepresentation for women in interventional cardiology.
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