Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention
Introduction: Ensuring safety from radiation in catheterization labs is critical due to the cumulative nature of radiation exposure. This study compares the effectiveness of Zero Gravity (ZG) and conventional Lead Apron shields in coronary angiography and percutaneous coronary intervention. Methods:...
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Elsevier
2025-05-01
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| Series: | American Heart Journal Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602225000394 |
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| author | Omnia Tajelsir Abdalla Osman Sara Al Balushi Salaheddin Omran Arafa Murad Al Khani Jassim Al Suwaidi Fahad Alkindi |
| author_facet | Omnia Tajelsir Abdalla Osman Sara Al Balushi Salaheddin Omran Arafa Murad Al Khani Jassim Al Suwaidi Fahad Alkindi |
| author_sort | Omnia Tajelsir Abdalla Osman |
| collection | DOAJ |
| description | Introduction: Ensuring safety from radiation in catheterization labs is critical due to the cumulative nature of radiation exposure. This study compares the effectiveness of Zero Gravity (ZG) and conventional Lead Apron shields in coronary angiography and percutaneous coronary intervention. Methods: Over six months, radiation exposure was assessed for two operators performing angiography procedures. One operator used a Lead Apron, while the other used the Zero Gravity system. Radiation was measured using Thermoluminescent Dosimeters (TLDs). Procedural characteristics, fluoroscopy time, and contrast dose were recorded. Feedback on Lead Apron use was collected using the Oswestry Low Back Pain Disability Questionnaire. Results: Each operator performed 63 procedures with similar characteristics. Zero Gravity showed no significant difference in whole-body radiation exposure (De) compared to the Lead Apron (0.349 mSv vs. 0.346 mSv). However, Zero Gravity resulted in a lower external skin dose (Ds) compared to the Lead Apron (0.314 mSv vs. 0.339 mSv). Most cardiologists reported minimal disability from using Lead Aprons. Discussion: Zero Gravity and Lead Apron provide comparable whole-body radiation protection, with Zero Gravity slightly reducing skin exposure. While ZG does not significantly alter overall radiation exposure, it may reduce ergonomic issues associated with Lead Aprons. Conclusion: Zero Gravity provides comparable whole-body radiation protection to Lead Aprons and reduces skin exposure. Further research is needed to address long-term impacts and enhance protective strategies in catheterization labs. |
| format | Article |
| id | doaj-art-bd49e398e06a4ad9808aaa82bfb51b01 |
| institution | OA Journals |
| issn | 2666-6022 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj-art-bd49e398e06a4ad9808aaa82bfb51b012025-08-20T02:26:44ZengElsevierAmerican Heart Journal Plus2666-60222025-05-015310053610.1016/j.ahjo.2025.100536Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary interventionOmnia Tajelsir Abdalla Osman0Sara Al Balushi1Salaheddin Omran Arafa2Murad Al Khani3Jassim Al Suwaidi4Fahad Alkindi5Department of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarCorresponding author at: Hamad Medical Corporation, Doha, Qatar.; Department of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarDepartment of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarDepartment of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarDepartment of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarDepartment of Adult Cardiology, Heart Hospital, Doha, Qatar; Department of Epidemiology, Communicable Disease Centre, Hamad Medical Corporation, Doha, QatarIntroduction: Ensuring safety from radiation in catheterization labs is critical due to the cumulative nature of radiation exposure. This study compares the effectiveness of Zero Gravity (ZG) and conventional Lead Apron shields in coronary angiography and percutaneous coronary intervention. Methods: Over six months, radiation exposure was assessed for two operators performing angiography procedures. One operator used a Lead Apron, while the other used the Zero Gravity system. Radiation was measured using Thermoluminescent Dosimeters (TLDs). Procedural characteristics, fluoroscopy time, and contrast dose were recorded. Feedback on Lead Apron use was collected using the Oswestry Low Back Pain Disability Questionnaire. Results: Each operator performed 63 procedures with similar characteristics. Zero Gravity showed no significant difference in whole-body radiation exposure (De) compared to the Lead Apron (0.349 mSv vs. 0.346 mSv). However, Zero Gravity resulted in a lower external skin dose (Ds) compared to the Lead Apron (0.314 mSv vs. 0.339 mSv). Most cardiologists reported minimal disability from using Lead Aprons. Discussion: Zero Gravity and Lead Apron provide comparable whole-body radiation protection, with Zero Gravity slightly reducing skin exposure. While ZG does not significantly alter overall radiation exposure, it may reduce ergonomic issues associated with Lead Aprons. Conclusion: Zero Gravity provides comparable whole-body radiation protection to Lead Aprons and reduces skin exposure. Further research is needed to address long-term impacts and enhance protective strategies in catheterization labs.http://www.sciencedirect.com/science/article/pii/S2666602225000394Radiation safetyCatheterization labsZero Gravity shieldLead Apron protectionCoronary angiographyPercutaneous coronary intervention |
| spellingShingle | Omnia Tajelsir Abdalla Osman Sara Al Balushi Salaheddin Omran Arafa Murad Al Khani Jassim Al Suwaidi Fahad Alkindi Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention American Heart Journal Plus Radiation safety Catheterization labs Zero Gravity shield Lead Apron protection Coronary angiography Percutaneous coronary intervention |
| title | Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| title_full | Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| title_fullStr | Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| title_full_unstemmed | Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| title_short | Comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| title_sort | comparative evaluation of radiation shielding zero gravity vs lead apron in coronary angiography and percutaneous coronary intervention |
| topic | Radiation safety Catheterization labs Zero Gravity shield Lead Apron protection Coronary angiography Percutaneous coronary intervention |
| url | http://www.sciencedirect.com/science/article/pii/S2666602225000394 |
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