Radiation Exposure and Adverse Health Effects of Interventional Cardiology Staff

  • Chandrasekharan Nair Kesavachandran
  • Frank Haamann
  • Albert Nienhaus
Part of the Reviews of Environmental Contamination and Toxicology book series (RECT, volume 222)


Coronary angiography (CA), percutaneous coronary intervention (PCI), catheter-based structural heart intervention, electrophysiological studies, and arrhythmia ablation are procedures that help cardiologists ensure better clinical diagnosis and treatment (Dawkins et al. 2005). During these procedures, catheters, guide wires, and other devices are visualized and guided by using real-time fluoroscopy. Therefore, operators are inevitably exposed to radiation (Kim and Miller 2009). Compared to other departments (radiology, urology, operating rooms, etc.), the cardiovascular or catheterization laboratory is generally considered to be an area of high radiation exposure (Raza 2011). Interventional cardiology (IC) staff is exposed more radiation per year than are radiologists by a factor of two to three (Picano et al. 2007). Invasive cardiology procedures have increased tenfold in the past decade, and growth in the field has been accompanied by concern for the safety of such staff (Picano et al. 2007).


Radiation Dose Percutaneous Coronary Intervention Personal Protective Equipment Catheterization Laboratory Interventional Cardiology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We wish to thank Dana Wendeler, Documentation officer, Department of Occupational Health Research, Institute for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Hamburg, Germany, for her support with the management of the literature. This research project was funded by the Institute for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Hamburg, Germany.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Chandrasekharan Nair Kesavachandran
    • 1
    • 2
  • Frank Haamann
    • 3
  • Albert Nienhaus
    • 1
    • 3
  1. 1.Centre for Epidemiology and Health Services Research in the Nursing Profession (CV care)University Medical Centre Hamburg-EppendorfHamburgGermany
  2. 2.Epidemiology DivisionCSIR-Indian Institute of Toxicology ResearchLucknowIndia
  3. 3.Department of Occupational Health ResearchInstitute for Statutory Accident Insurance and Prevention in the Health and Welfare ServicesHamburgGermany

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