EACVI survey on radiation exposure in interventional echocardiography
Galli, Elena (University of Rennes)
Soliman-Aboumarie, Hatem (King's College Hospital NHS Foundation Trust)
Gargani, Luna (Università di Pisa)
Szymański, Piotr (National Institute of Medicine MSWiA (Polònia))
Gimelli, Alessia (Fondazione Toscana Gabriele Monasterio)
Petersen, Steffen Erhard (Queen Mary University London)
Sade, Leyla Elif (University of Pittsburgh Medical Center)
Stankovic, Ivan (University of Belgrade)
Donal, Erwan (University of Rennes)
Cosyns, Bernard (Universitair Ziekenhuis Brusse)
Agricola, Eustachio (IRCCS San Raffaele Scientific Institute (Milà, Itàlia))
Dweck, Marc R. (University of Edinburgh)
Marsan, Nina Ajmone (Leiden University Medical Center)
Delgado, Victoria (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Muraru, Denisa (San Luca Hospital)

Data:	2024
Resum:	Aims The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey on radiation exposure in interventional echocardiography. The survey aimed to collect data on local practices for radioprotection in interventional echocardiography and to assess the awareness of echocardiography operators about radiation-related risks. Methods and results A total of 258 interventional echocardiographers from 52 different countries (48% European) responded to the survey. One hundred twenty-two (47%) participants were women. Two-thirds (76%) of interventional echocardiographers worked in tertiary care/university hospitals. Interventional echocardiography was the main clinical activity for 34% of the survey participants. The median time spent in the cath-lab for the echocardiographic monitoring of structural heart procedures was 10 (5-20) hours/month. Despite this, only 28% of interventional echocardiographers received periodic training and certification in radioprotection and 72% of them did not know their annual radiation dose. The main adopted personal protection devices were lead aprons and thyroid collars (95% and 92% of use, respectively). Dedicated architectural protective shielding was not available for 33% of interventional echocardiographers. Nearly two-thirds of responders thought that the radiation exposure of interventional echocardiographers was higher than that of interventional cardiologists and 72% claimed for an improvement in the radioprotection measures. Conclusion Radioprotection measures for interventional echocardiographers are widely variable across centres. Radioprotection devices are often underused by interventional echocardiographers, portending an increased radiation-related risk. International scientific societies working in the field should collaborate to endorse radioprotection training, promote reliable radiation dose assessment, and support the adoption of radioprotection shielding dedicated to interventional echocardiographers.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	European Heart Journal Cardiovascular Imaging, Vol. 25 Núm. 6 (january 2024) , p. 727-734, ISSN 2047-2412

DOI: 10.1093/ehjci/jeae086
PMID: 38635738

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