Chapter

Radiation and percutaneous coronary intervention

Gurbir Bhatia and James Nolan

in Oxford Textbook of Interventional Cardiology

Published on behalf of Oxford University Press

ISBN: 9780199569083
Published online July 2011 | e-ISBN: 9780199697816 | DOI: http://dx.doi.org/10.1093/med/9780199569083.003.005

Series: Oxford Textbooks

Radiation and percutaneous coronary intervention

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Fluoroscopic procedures comprise a major component of the range of diagnostic and therapeutic measures available to the cardiologist. In contemporary practice, coronary angiography and percutaneous coronary intervention (PCI) are performed increasingly frequently. With greater availability of adjunctive techniques, the complexity of PCI procedures has also increased. Against this background, it should be appreciated that the amount of radiation that patients, physicians, and other staff are exposed to will increase accordingly. Cardiologists should be aware that increasing procedural radiation carries significant risks to both patients and catheter laboratory staff. This is vital in providing informed consent to patients prior to performing PCI procedures. Although there are legal obligations for employers to limit radiation exposure, it may be argued that cardiologists do not receive adequate training in radiation awareness. This chapter aims to provide an overview of basic radiation physics and biology, and discusses factors influencing procedural radiation doses. Particular attention is given to the potential hazards associated with increasing radiation exposure, and to methods enabling the physician to reduce delivered doses.

Chapter.  6978 words.  Illustrated.

Subjects: Radiology ; Cardiovascular Medicine

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