ORSIF
APRIL 2017
 
We are deeply saddened to hear of the passing of Dr. Edward Diethrich, a true pioneer and dear friend of our organization. The contributions Dr. Diethrich made to cardiovascular medicine will have a lasting impact. We are honored to have had the privilege to tell his story and will continue our work on behalf of all healthcare professionals who face the risks of interventional fluoroscopy. We would like to extend our sincere and heartfelt condolences to the family and loved ones of Dr. Diethrich during this difficult time.
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TOPICS:
Health Impacts of
Radiation Exposure
during PCI
RAD-MATRIX Trial: Radial
Access Associated with
Greater Operator and
Patient Radiation Exposure compared to Femoral
Suspended Lead Curtain and Robotic-assisted PCI Offer Significant Decrease in Operator Cranial Radiation Exposure during PCI
 
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
Cath Lab Digest:
Health Impacts of Radiation Exposure during PCI
Concern regarding the health hazards associated with interventional fluoroscopy is growing, as evidence of the damaging effects of chronic exposure to ionizing radiation builds. More than 17 million fluoroscopy-guided interventional procedures take place each year. In an article published in Cath Lab Digest, Michael Seymour, MS, MPH, CIH, and Director of Advocacy Programs for ORSIF, discusses the increase in interventional cardiology procedures that rely on fluoroscopy and describes the research on the health effects, including cancer, cataracts, cognitive function, and reproductive effects. Musculoskeletal injuries associated with the use of heavy personal protective equipment (PPE), as well as other radiation-protection methods and their limitations, are also discussed.
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Journal of the American College of Cardiology:
RAD-MATRIX Trial: Radial Access Associated with Greater Operator and Patient Radiation Exposure compared to Femoral
Study evaluated whether access site increases radiation exposure for operators and patients
Among eighteen operators, performing 777 procedures in 767 patients, operator equivalent dose at the thorax was significantly higher with radial than femoral access (77 μSv vs. 41 μSv, p=0.02).
In the overall MATRIX population, fluoroscopy time (10 min vs. 9 min; p<0.0001) and DAP—available in 7570 procedures and 6902 patients—(65 Gy*cm2 vs. 59 Gy*cm2; p=0.0001) were higher with radial as compared to femoral access.
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tctMD:
Suspended Lead Curtain and Robotic-assisted PCI Offer Significant Decrease in Operator Cranial Radiation Exposure during PCI
Using a suspended lead curtain resulted in reduced cranial radiation exposure by 97% when compared with radiation exposure experienced by operators who simply used a traditional lead vest during PCI procedures
Operators performing robotic-assisted PCI further reduce the risk of cranial radiation exposure by 80%
Data was collected during manual PCI procedures using traditional lead protection (n=123), manual PCI cases using a suspended lead curtain (n=168), and robotic-assisted PCI and a suspended lead curtain (n=45)
Manual PCI with traditional lead protection, radiation exposure to the head was 14.9 µSv per case. Radiation exposure using the suspended lead shield alone resulted in 0.5 µSv. Robotic-assisted PCI with lead curtain was 0.1 µSv.
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