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Radiation Exposure and Safety for the Electrophysiologist

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Cardiac Electrophysiology Without Fluoroscopy

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Abstract

Cardiac electrophysiology frequently employs fluoroscopy in both diagnostic and therapeutic procedures. Electrophysiologists need to be aware of the different degrees of exposure associated with each procedure and utilise a personal dosimeter to monitor exposure. In general, diagnostic procedures have lower radiation exposure compared to ablative procedures. Atrial fibrillation ablation has the highest radiation exposure of all electrophysiologic procedures. Radiation exposure has been shown to pose a cumulative risk of cancer and a threshold-based risk for tissue and organ injury. Radiation safety protocols must be utilised to minimise exposure to radiation during the procedure. Measures to reduce radiation exposure include equipment customisation, workflow adaptations, protective gear and effective use of non-radiation techniques. Pregnancy presents a unique challenge and monitoring is essential to prevent harmful consequences to both the mother and the foetus.

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Authors and Affiliations

  1. Department of Cardiology, Royal Brompton and Harefield Hospital, National Heart and Lung Institute, Imperial College London, London, UK

    Darbhamulla V. Nagarajan & Sabine Ernst

  2. Department of Cardiology, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Doncaster, UK

    Darbhamulla V. Nagarajan

  3. Division of Cardiology, McGill University Health Centre, Montreal, QC, Canada

    Ahmed AlTurki

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  1. Darbhamulla V. Nagarajan
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  2. Ahmed AlTurki
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  3. Sabine Ernst
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Correspondence to Sabine Ernst .

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Editors and Affiliations

  1. Department of Cardiac, Thoracic Vascular Sciences and Public Health, The University of Padua, Padua, Italy

    Riccardo Proietti

  2. Huazhong University of Science and Technology Tongji Hospital, Tongji Medical College, Wuhan, China

    Yan Wang

  3. Peking Union Medical College Hospital, National Center for Cardiovascular Disease, Beijing, China

    Yan Yao

  4. The First Affiliated Hospital of Guangxi Medical University , Nanning, China

    Guo Qiang Zhong

  5. Guangdong Cardiovascular Institute, Guangzhou, Guangdong, China

    Shu Lin Wu

  6. Université de Sherbrooke , Sherbrooke, QC, Canada

    Félix Ayala-Paredes

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Nagarajan, D.V., AlTurki, A., Ernst, S. (2019). Radiation Exposure and Safety for the Electrophysiologist. In: Proietti, R., Wang, Y., Yao, Y., Zhong, G., Lin Wu, S., Ayala-Paredes, F. (eds) Cardiac Electrophysiology Without Fluoroscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-16992-3_2

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