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- W2460760128 abstract "Purpose: Radiation exposure in invasive cardiolo- gy remains considerable. We evaluated the accep- tance of radiation protective devices and the role of operator experience, team leadership, and technical equipment in radiation safety efforts in the clinical routine. Materials and Methods: Cardiologists (115 from 27 centers) answered a questionnaire and docu- mented radiation parameters for 10 coronary an- giographies (CA), before and 3.1 months after a 90-min. mini-course in radiation-reducing tech- niques. Results: Mini-course participants achieved signifi- cant median decreases in patient dose area pro- ducts (DAP: from 26.6 to 13.0 Gy × cm 2 ), number of radiographic frames (- 29 %) and runs (- 18 %), radiographic DAP/frame (- 32 %), fluoroscopic DAP/s (- 39 %), and fluoroscopy time (- 16 %). Mul- tilevel analysis revealed lower DAPs with decreas- ing body mass index (- 1.4 Gy × cm2 per kg/m 2 ), age (- 1.2 Gy × cm 2 /decade), female sex (- 5.9 Gy × cm 2 ), participation of the team leader (- 9.4 Gy × cm2 ), the mini-course itself (- 16.1 Gy × cm 2 ), experience (- 0.7 Gy × cm 2 /1000 CAs throughout the interven- tionalist's professional life), and use of older cathe- terization systems (- 6.6 Gy × cm2 ). Lead protection included apron (100 %), glass sheet (95 %), length- wise (94 %) and crosswise (69 %) undercouch sheet, collar (89 %), glasses (28 %), cover around the pa- tients' thighs (19 %), foot switch shield (7 %), gloves (3 %), and cap (1 %). Conclusion: Radiation-protection devices are em- ployed less than optimally in the clinical routine. Cardiologists with a great variety of intervention- al experience profited from our radiation safety workshop - to an even greater extent if the inter-" @default.
- W2460760128 created "2016-07-22" @default.
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- W2460760128 date "2015-01-01" @default.
- W2460760128 modified "2023-09-27" @default.
- W2460760128 title "Role of Experience, Leadership and Individual Protection in the Cath Lab - A Multicenter Questionnaire and Workshop on Radiation Safety Die Bedeutung interventioneller Erfahrung, Führung und individueller Schutzmaßnahmen im Katheterlabor - Ergebnisse einer multizentrischen Befragung mit Strahlenschutzkurs" @default.
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