Research summary, original research, 2013

Physicians' Radiation Exposure in the Catheterization Lab: Does the Type of Procedure Matter?

Ingwersen M, Drabik A, Kulka U, Oestreicher U, Fricke S, Krankenberg H, et al.. JACC. Cardiovascular interventions. 2013

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In plain language

In one cath lab, three operators received higher radiation doses during pelvic, upper limb and below-the-knee endovascular procedures than during coronary angiography, with higher eye and hand doses in peripheral work. Patient body mass index (BMI) and fluoroscopy time also mattered.

At a glance

Type of study
Original research, Dosimetry measurement study
Who was studied
Interventional cardiologists, Other physicians
Size
n = 284 procedures
Summary based on
the abstract

What it found

  • Pelvic endovascular procedures gave operators a higher effective dose than coronary angiography.

    Key figures: 2.3-fold (95% confidence interval (CI): 1.7 to 3.0, p < 0.001)

  • Upper limb and below-the-knee procedures also gave higher operator effective dose than coronary angiography.

    Key figures: 1.7-fold (95% CI: 1.3 to 2.1, p < 0.001); 1.4-fold (95% CI: 1.1 to 2.0, p = 0.023)

  • Procedure type, patient BMI and fluoroscopy time were independently associated with operator exposure.

  • Mean operator effective dose per procedure was low; eye doses were higher in peripheral than coronary procedures.

    Key figures: E 2.2 ± 5.9 μSv; eye 19.1 ± 37.6 μSv

  • Hand doses were highest in pelvic procedures.

    Key figures: mean hand dose 99.6 ± 196.0 μSv

Limits to keep in mind

Single-centre study of only 3 operators over 14 weeks; results may reflect individual technique and local equipment and shielding. Dose is a surrogate, not a health outcome.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.