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Pediatric Cardiology

, Volume 26, Issue 1, pp 29–33 | Cite as

Quantifying and Minimizing Radiation Exposure During Pediatric Cardiac Catheterization

  • R.M. CampbellEmail author
  • M.J. Strieper
  • P.A. Frias
  • G. Jeager
  • G. Balfour
  • L. Costello
  • K.M.  Sullivan
Article

Abstract

This study reports findings from evaluations of new technologies to measure radiation exposure during pediatric cardiac catheterization procedures. A strategy of pulsed fluoroscopy and low power settings resulted in significantly lower patient radiation exposure compared to conventional 60 frames/sec, high-power settings during fluoroscopy. During radiofrequency ablation procedures, thyroid and thoracic skin sites outside the direct fluoroscopic field received minimal radiation exposure. Intrathoracic radiation exposure was measured with the use of an esophageal dosimeter. In conclusion, strategies to reduce total radiation exposure should be employed, radiation dose should be measured, and assessment of radiation skin injury should be included in postcatheterization assessment.

Keywords

X-ray Radiofrequency ablation Fluoroscopy 

Notes

Acknowledgments

The authors thank Sonia Thomas for manuscript preparation and Ian Thomson for technical assistance and review of the manuscript.

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • R.M. Campbell
    • 1
    Email author
  • M.J. Strieper
    • 1
  • P.A. Frias
    • 1
  • G. Jeager
    • 1
  • G. Balfour
    • 1
  • L. Costello
    • 1
  • K.M.  Sullivan
    • 2
  1. 1.Sibley Heart Center at Children’s Healthcare of AtlantaAtlantaUSA
  2. 2.Departments of Pediatrics and EpidemiologyEmory UniversityAtlantaUSA

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