ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Evaluation of Procedure Doses and Staff Attitudes in Interventional Cardiology in Terms of Radiation Safety [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(4): 260-268 | DOI: 10.5543/tkda.2024.18363

Evaluation of Procedure Doses and Staff Attitudes in Interventional Cardiology in Terms of Radiation Safety

Uğur Uğrak1, Yusuf Uzkar2, İrfan Düzen3, Temel Acar4, Ercan Karabey5, Gülperi Durmaz2
1Department of Health Management, University of Health Sciences, Gülhane Vocational School of Health, Ankara, Türkiye
2Department of Radiology, Gaziantep Ersin Arslan Training and Research Hospital, Gaziantep, Türkiye
3Department of Cardiology, Gaziantep Ersin Arslan Training and Research Hospital, Gaziantep, Türkiye
4Department of Cardiology, Bursa Medical Faculty Health Application and Research Center Hospital, Bursa, Türkiye
5Department of Cardiology, Sivas Cumhuriyet University Research and Application Hospital, Sivas, Türkiye


OBJECTIVE
Ionizing radiation has long been used in the medical field. Catheter laboratories (cath labs) are recognized as areas where radiation exposure is notably high. This study aims to examine the levels of radiation exposure during various interventional procedures to raise awareness of this issue in Türkiye.


METHODS
This study evaluated the procedure radiation doses (n = 2804) in the cath labs of four public hospitals with distinct characteristics. Radiation dose evaluation was conducted using Cumulative Air Kerma (CAK). The Kolmogorov-Smirnov test, Kruskal-Wallis H test, independent T-test, and Pearson correlation coefficient were utilized to analyze the data. A p-value of < 0.05 was considered statistically significant. Data were analyzed using IBM® Statistical Package for the Social Sciences (SPSS®) STATISTICS Version 26.0.0.0 (IBM Corporation, Armonk, New York, USA).


RESULTS
The procedure radiation doses in the cath labs were documented. The findings are largely consistent with the literature. Notably, several outlier cases with extremely high radiation doses were identified [CAK (min-max) = 0.12 – 9.9 Gy]. Procedures such as chronic total occlusion (CTO) [Mean CAK: 3.8 (± 1.5) Gy] and percutaneous coronary interventions (PCI) [Mean CAK: 1.5 (± 1.4) Gy] were associated with high doses. Additionally, personnel attitudes toward radiation optimization in cath labs were found to be inadequate.


CONCLUSION
The incidence of high radiation exposure during interventional procedures may be higher than expected in Türkiye. Further research is necessary to identify predictors and implement preventive measures to reduce these rates. For this purpose, establishing diagnostic radiation reference levels (DRLs) could help monitor national radiation levels.

Keywords: Cath lab, health policy, patient safety, radiation protection

How to cite this article
Uğur Uğrak, Yusuf Uzkar, İrfan Düzen, Temel Acar, Ercan Karabey, Gülperi Durmaz. Evaluation of Procedure Doses and Staff Attitudes in Interventional Cardiology in Terms of Radiation Safety. Turk Kardiyol Dern Ars. 2024; 52(4): 260-268

Corresponding Author: Uğur Uğrak
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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