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HANDS DOWN: OPERATOR HAND VERSUS TORSO RADIATION EXPOSURE DURING TRANSCATHETER AORTIC VALVE REPLACEMENT
1029 JACC March 21, 2017 Volume 69, Issue 11
Interventional Cardiology HANDS DOWN: OPERATOR HAND VERSUS TORSO RADIATION EXPOSURE DURING TRANSCATHETER AORTIC VALVE REPLACEMENT Poster Contributions Poster Hall, Hall C Friday, March 17, 2017, 10:00 a.m.-10:45 a.m. Session Title: Interventional Cardiology: TAVR 1 Abstract Category: 17. Interventional Cardiology: Aortic Valve Disease Presentation Number: 1114-149 Authors: Alec Vishnevsky, Rady Ho, Michael Savage, David Fischman, Praveen Mehrotra, John C. Entwhistle, III, Jordan Goldhammer, Rebecca Marcantuono, Lisa Moss, John Keklak, Marguerite Davis, Theresa Schmitz, Paul Walinsky, Rohinton Morris, Nicholas Ruggiero, Thomas Jefferson University Hospital, Philadelphia, PA, USA Background: There is a paucity of literature addressing radiation exposure of providers during Transcatheter Aortic Valve Replacement (TAVR). This study aimed to compare radiation exposure to different body regions of providers (hand vs torso) during TAVR. We hypothesized that due to conventional TAVR techniques, radiation exposure will differ based on body region and TAVR approach transfemoral (TF) vs transaortic (TAo)
Methods: We performed a prospective cohort study assessing radiation exposure of providers in consecutive TAVR cases, all performed with transesophageal echocardiographic guidance under general anesthesia. Providers wore radiation dosimeters (ring and collar) specific to their role and TAVR approach. Data was assessed over an 8 month period; total radiation dose for each body region was assessed and standardized to the number of cases performed Results: Data was collected for 46 TF and 7 TAo TAVRs. The Interventional Cardiology team had a significantly greater hand radiation exposure compared with torso during the TF approach (50.7 mRem vs 12.7 mRem) and the Surgery team with the TAo approach (127.5 mRem vs 12.2 mRem). Overall provider radiation exposure was higher for TF vs TAo approaches
Conclusions: Provider hand radiation exposure per case is greater than that of the torso during both TF and TAo TAVR. Better awareness of hand position and reduction in fluoroscopy times should be considered to decrease the amount of hand radiation exposure of the operator.
Interventional Cardiology HANDS DOWN: OPERATOR HAND VERSUS TORSO RADIATION EXPOSURE DURING TRANSCATHETER AORTIC VALVE REPLACEMENT Poster Contributions Poster Hall, Hall C Friday, March 17, 2017, 10:00 a.m.-10:45 a.m. Session Title: Interventional Cardiology: TAVR 1 Abstract Category: 17. Interventional Cardiology: Aortic Valve Disease Presentation Number: 1114-149 Authors: Alec Vishnevsky, Rady Ho, Michael Savage, David Fischman, Praveen Mehrotra, John C. Entwhistle, III, Jordan Goldhammer, Rebecca Marcantuono, Lisa Moss, John Keklak, Marguerite Davis, Theresa Schmitz, Paul Walinsky, Rohinton Morris, Nicholas Ruggiero, Thomas Jefferson University Hospital, Philadelphia, PA, USA Background: There is a paucity of literature addressing radiation exposure of providers during Transcatheter Aortic Valve Replacement (TAVR). This study aimed to compare radiation exposure to different body regions of providers (hand vs torso) during TAVR. We hypothesized that due to conventional TAVR techniques, radiation exposure will differ based on body region and TAVR approach transfemoral (TF) vs transaortic (TAo)
Methods: We performed a prospective cohort study assessing radiation exposure of providers in consecutive TAVR cases, all performed with transesophageal echocardiographic guidance under general anesthesia. Providers wore radiation dosimeters (ring and collar) specific to their role and TAVR approach. Data was assessed over an 8 month period; total radiation dose for each body region was assessed and standardized to the number of cases performed Results: Data was collected for 46 TF and 7 TAo TAVRs. The Interventional Cardiology team had a significantly greater hand radiation exposure compared with torso during the TF approach (50.7 mRem vs 12.7 mRem) and the Surgery team with the TAo approach (127.5 mRem vs 12.2 mRem). Overall provider radiation exposure was higher for TF vs TAo approaches
Conclusions: Provider hand radiation exposure per case is greater than that of the torso during both TF and TAo TAVR. Better awareness of hand position and reduction in fluoroscopy times should be considered to decrease the amount of hand radiation exposure of the operator.