In plain language
In vascular surgeons doing endovascular procedures, measured dose was highest for fenestrated aneurysm repair and at the main operator and brachial access positions. A table skirt cut lower body dose about fivefold; ceiling shields showed no measured effect here.
At a glance
- Type of study
- Original research, Dosimetry measurement study
- Who was studied
- Vascular surgeons, Trainees
- Size
- n = 415 dosimeter measurements
- Summary based on
- the abstract
What it found
Fenestrated endovascular aneurysm repair (EVAR) produced higher mean operator effective dose than other case types.
Key figures: 20 μSv at position A, 9 μSv at position B; P < .03
Main operator position and the brachial access position received higher doses than more distant assistant positions.
Key figures: A 9.0 μSv, D 20 μSv vs B 4 μSv, C 0.4 μSv; P < .001
A table lead skirt reduced lower body dose but not upper body dose.
Key figures: lower body 33 ± 3.4 μSv to 6.3 ± 3.3 μSv; upper body 6.5 ± 3.3 μSv to 5.7 ± 2.2 μSv
Ceiling-mounted shielding and fellow training level did not affect operator dose in this study.
Authors estimate the primary operator could perform about 12 fenestrated endovascular aneurysm repairs (FEVARs) per week with annual dose under 10 mSv.
Key figures: ~12 FEVARs/wk; <10 mSv/year
Limits to keep in mind
Single-center dosimetry with modest case numbers per procedure type and dosimeters at only two body sites outside the apron; no measurement of eye, hand or head dose, and the null ceiling-shield result may reflect positioning or use not reported.
Related research summaries
- ICRP Draft - Radiological Protection in Fluoroscopically Guided Procedures (Guideline or consensus statement)
- SCAI/ASE/HRS/SIR/SVS Expert Consensus Statement on Enhanced Radiation Protection: Time for Mandatory and Urgent Action (2026, Guideline or consensus statement)
- Occupational Health Hazards in the Cardiac Catheterization Laboratory: Results of the 2023 SCAI Survey (2025, Cross-sectional survey)
- Addressing the Occupational Risk of Radiation Exposure in the Evolving Field of Interventional Echocardiography (2024, Narrative review)
- Radiation Exposure, Training, and Safety in Cardiology (2024, Narrative review)
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.