Radiation exposure of pediatric patients and physicians during cardiac catheterization and balloon pulmonary valvuloplasty

Journal Article · Mon Jul 15 04:00:00 EDT 1991 · American Journal of Cardiology; (United States)

OSTI ID:5459489

Wu, J R; Huang, T Y; Wu, D K; Hsu, P C; Weng, P S ^[1]

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1. Department of Pediatrics, School of Medicine, Kaohsiung Medical College, Taiwan (China)

Thermoluminescent dosimeters were applied to various areas of 61 pediatric patients and physicians to measure radiation doses during routine cardiac catheterization and during 4 cases of balloon pulmonary valvuloplasty. Radiation doses were measured during chest roentgenography, fluoroscopy and cineangiography. Average skin dose to the chest was 121 microGy during chest x-ray, 5,182 microGy during catheterization and 641 mGy during valvuloplasty. For the eyes, thyroid and gonads of the patients, the exposure during routine catheterization was equal to 0.4, 6 and 0.2 chest x-rays, respectively. Radiation dose of the operator was 3 microGy for the eyes and 6 miCroGy in the thyroid. About 56% of the operator's dose could be reduced by thyroid shields, and 80% by lead aprons. The assistant received only 1 microGy outside the thyroid shield. Therefore, the authors have concluded that the patients dose during routine catheterization is largely based on our experimental results, but the dose is acceptable based on the risk factor analysis. The skin dose to the right lateral chest of the patient during valvuloplasty is extremely high, perhaps as high as the equivalent of 1,000 chest x-rays. Besides the clinical benefits of valvuloplasty, the long-term radiation-related hazards to the patient should be carefully monitored.

• OSTI ID: 5459489
• Journal Information: American Journal of Cardiology; (United States), Journal Name: American Journal of Cardiology; (United States) Vol. 68:2; ISSN AJCDA; ISSN 0002-9149
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
AGE GROUPS
BIOLOGICAL SHIELDING
BIOMEDICAL RADIOGRAPHY
BODY
BODY AREAS
CHILDREN
DIAGNOSTIC TECHNIQUES
DOSES
DOSIMETRY
ELECTROMAGNETIC RADIATION
ENDOCRINE GLANDS
EYES
FACE
FLUOROSCOPY
GLANDS
GONADS
HEAD
IONIZING RADIATIONS
MEDICAL PERSONNEL
MEDICINE
NUCLEAR MEDICINE
ORGANS
PATIENTS
PERSONNEL
RADIATION DOSES
RADIATION PROTECTION
RADIATIONS
RADIOLOGICAL PERSONNEL
RADIOLOGY
SENSE ORGANS
SHIELDING
SKIN
THERMOLUMINESCENT DOSIMETRY
THYROID
X RADIATION