Lead Cap Use in Interventional Cardiology: Time to Protect Our Head in the Cardiac Catheterisation Laboratory?

Author:

Sattar Yasar1ORCID,Sengodan Prasanna M1ORCID,Cheema Mustafa Sajjad2ORCID,Javed Nismat3ORCID,Ashraf Shoaib4,Fakhra Sadaf5ORCID,Alharbi Anas1ORCID,Syed Moinuddin6,Alam Mahboob7ORCID,Elgendy Islam Y8ORCID,Haleem Affan1ORCID,Kawsara Akram1ORCID,Alraies M Chadi9ORCID,Daggubati Ramesh1ORCID

Affiliation:

1. Department of Cardiology, West Virginia University, Morgantown, WV, US

2. Department of Medicine, CMH Lahore Medical College and Institute of Dentistry, Lahore, Punjab, Pakistan

3. Department of Internal Medicine, BronxCare Health System, New York, NY, US

4. Department of Cardiology, Hackensack University Medical Centre, NJ, US

5. Department of Internal Medicine, University of Nevada, Kirk Kerkorian School of Medicine, Las Vegas, NV, US

6. Department of Cardiology, Boston University, Boston, MA, US

7. 7. Department of Cardiology, Baylor College of Medicine, Houston, TX, US

8. Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, KT, US

9. Detroit Medical Centre, Wayne State University, Detroit, MI, US

Abstract

Background: Radiation exposure is an occupational hazard for interventional cardiologists and cardiac catheterisation laboratory staff that can manifest with serious long-term health consequences. Personal protective equipment, including lead jackets and glasses, is common, but the use of radiation protective lead caps is inconsistent. Methods: A systematic review qualitative assessment of five observational studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines protocol was performed. Results: It was concluded that lead caps significantly reduce radiation exposure to the head, even when a ceiling-mounted lead shield was present. Conclusion: Although newer protective systems are being studied and introduced, tools, such as lead caps, need to be strongly considered and employed in the catheterisation laboratory as mainstay personal protective equipment.

Publisher

Radcliffe Media Media Ltd

Subject

Cardiology and Cardiovascular Medicine

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