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Speical Issue

Tools and Tips for Effective Radiation Protection


The number and complexity of invasive electrophysiological procedures have dramatically increased over the last decades. Despite recent technological advances, the use of fluoroscopy remains the main visualization technique for intracardiac catheter positioning. The purpose of radiation protection tools is to improve operator and staff safety without impeding the procedure or jeopardizing the patient’s safety. There are three types of radiation shielding: architectural shielding, equipment-mounted shields, and personal protective devices, which include aprons, thyroid shields, eyewear and gloves. Due to the documented increase in orthopedic problems in interventionalists, which are believed to be related to long-term use of heavy radiation protective garments, the mobile radiation protection cabins have been developed to replace their use. The mobile cabins may be either floor mounted on wheels or ceiling mounted on a suspension that moves with the operator. This review focuses on the different tools currently available for radiation protection in the setting of electrophysiology laboratory.

Credits: Petr Peichl, Josef Kautzner

Biosense Webster
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Introduction to AFib
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