Survey of the interventional cardiology procedures in Italy.
Survey of the interventional cardiology procedures in Italy.
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意大利介入心脏病学程序的调查。
DOI：
10.1093/rpd/ncr417
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发表时间：
2012
影响因子：
1
通讯作者：
R. Curini
中科院分区：
文献类型：
--
作者：
G. Compagnone;F. Campanella;S. Domenichelli;S. Lo Meo;M. Bonelli;S. delle Canne;P. Isoardi;Michele Marinaro;Massimo Ursetta;R. Curini
与其他技术相比，介入性心脏病手术为患者提供了许多优势，因此，意大利国家工伤事故保险机构决定开展一项调查，以监测参与这些手术的专业人员的最新技术水平。该调查涵盖了意大利的六个心脏病学和医学物理学部门。要求每个中心记录5种手术的10次检查：冠状动脉造影（CA）、电生理检查（ES）、起搏器植入（PI）、经皮腔内冠状动脉成形术（PTCA）和射频导管消融术（RA）。对于每一次检查，要求所有中心填写一份调查表，其中载有关于进行检查的操作者、病人和程序的信息。共记录了290次检查：103次CA，14次ES，68次PI，79次PTCA和26次RA。由于职业剂量与患者剂量密切相关，因此报告了患者和操作人员的辐射剂量数据。在接受调查的医院中，CA、ES、PI、PTCA和RA的最大平均患者剂量与最小平均患者剂量的比值分别为2.0、3.9、7.0、1.8和1.4。所有参与医院计算的四舍五入平均剂量-面积乘积值与文献中报告的其他值相当。一般而言，在所有医院进行不同手术的所有操作人员都使用了特定的辐射防护工具。这项调查的一个主要问题是缺乏关于单一程序中工作人员和患者剂量之间相关性的信息：未来的研究可能更多地针对前瞻性目标，其中对每个程序的职业暴露进行专门监测。
Interventional cardiology procedures are increasing because they offer many advantages to patients compared with other techniques: therefore the Italian National Institution for Insurance against Accidents at Work decided to start a survey for monitoring the state-of-the-art regarding the professionals involved in those procedures. The survey covered six cardiology and medical physics Italian departments. Each centre was asked to record 10 examinations for five types of procedures: coronary angiography (CA), electrophysiology studies (ES), pacemaker implantation (PI), percutaneous transluminal coronary angioplasty (PTCA) and radiofrequency catheter ablation (RA). For each examination all the centres were requested to fill in a questionnaire containing information regarding the operator performing the examination, the patient and the procedure. A total of 290 examinations were recorded: 103 CA, 14 ES, 68 PI, 79 PTCA and 26 RA. As occupational doses are strongly related to patient doses, both patients and operators radiation dose data are reported. Ratios of maximum to minimum mean patient doses across the hospitals surveyed were 2.0, 3.9, 7.0, 1.8 and 1.4 for CA, ES, PI, PTCA and RA, respectively. The calculated rounded mean dose-area product values across all participating hospitals were comparable with other values reported in the literature. In general, specific radiation protection tools were used by all operators performing different procedures in all hospitals. A major issue in this survey was the absence of information about correlation between staff and patient doses in a single procedure: future studies could be more aimed to prospective goals where occupational exposures per procedure are monitored specifically.