Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2021 Oct;98(4):E523-E530.
doi: 10.1002/ccd.29773. Epub 2021 May 12.

The radioprotective effect of the Cathpax® AIR cabin during interventional cardiology procedures

Alejandro Gutierrez-Barrios  1 , Esther Angulo-Pain  2 , Inmaculada Noval-Morillas  1 , Dolores Cañadas-Pruaño  1 , Inara Alarcon de la Lastra  1 , Livia Gheorghe  1 , Ricardo Zayas-Rueda  1 , German Calle-Perez  1 , Rafael Vázquez-García  1
Affiliations
Clinical Trial

The radioprotective effect of the Cathpax® AIR cabin during interventional cardiology procedures

Alejandro Gutierrez-Barrios et al. Catheter Cardiovasc Interv. 2021 Oct.

Abstract

Background: The use of ionizing radiation during cardiac catheterization interventions adversely impacts the medical staff. Traditional radiation protection equipment is only partially effective. The Cathpax® radiation protection cabin (RPC) has proven to significantly reduce radiation exposure in electrophysiological and neuroradiology interventions. Our objective was to analyze whether the Cathpax® RPC reduces radiation dose in coronary and cardiac structural interventions in unselected real-world procedures.

Methods and results: In this nonrandomized all-comers prospective study, 119 consecutive cardiac interventional procedures were alternatively divided into two groups: the RPC group (n = 59) and the non-RPC group (n = 60). No significant changes in the characteristics of patients and procedures, average contrast volume, air kerma (AK), dose area-product (DAP) and fluoroscopy time between both groups were apparent. In the RPC group, the first-operator relative radiation exposure was reduced by 78% at the chest and by 70% at the wrist. This effect was consistent during different types of procedures including complex percutaneous interventions and structural procedures.

Conclusions: Our study demonstrates, for the first time, that the Cathpax® cabin significantly and efficiently reduces relative operator radiation exposure during different types of interventional procedures, confirming its feasibility in a real-world setting.

Keywords: RADI- radiation physics/dosimetry; percutaneous coronary interventions; structural heart disease interventions.

PubMed Disclaimer

References

REFERENCES

    1. Judkins MP, Abrams HL, Bristow JD, et al. Report of the inter-Society Commission for Heart Disease Resources. Optimal resources for examination of the chest and cardiovascular system. A hospital planning and resource guideline. Radiologic facilities for conventional x-ray examination of the heart and lungs. Catheterization-angiographic laboratories. Radiologic resources for cardiovascular surgical operating rooms and intensive care units. Circulation. 1976;53:A1-A37.
    1. Christopoulos G, Makke L, Christakopoulos G, et al. Optimizing radiation safety in the cardiac catheterization laboratory: a practical approach. Catheterization Cardiovasc Interventions Off J Soc Cardiac Angiography Interventions. 2016;87:291-301.
    1. Rehani MM, Ortiz-Lopez P. Radiation effects in fluoroscopically guided cardiac interventions-keeping them under control. Int J Cardiol. 2006;109:147-151.
    1. Elmaraezy A, Ebraheem Morra M, Tarek Mohammed A, et al. Risk of cataract among interventional cardiologists and catheterization lab staff: a systematic review and meta-analysis. Catheterization Cardiovasc Interventions Off J Soc Cardiac Angiography Interventions. 2017;90:1-9.
    1. Partridge J. Radiation in the cardiac catheter laboratory. Heart. 2005;91:1615-1620.

Publication types

MeSH terms

LinkOut - more resources