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Radiation Protection Dosimetry Advance Access originally published online on February 4, 2008
Radiation Protection Dosimetry 2008 129(1-3):71-73; doi:10.1093/rpd/ncn006
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Level of patient and operator dose in the largest cardiac centre in Greece

V. Tsapaki1, S. Patsilinakos1, V. Voudris2, A. Magginas2, S. Pavlidis2, T. Maounis2, G. Theodorakis2, M. Koutelou2, T. Vrantza3, M. Nearchou3, N. Nikolaki3, N. Kollaros2, E. Kyrozi2, S. Kottou4,*, P. Karaiskos4, E. Neofotistou5 and D. Cokkinos2

1 Konstantopoulio Agia Olga Hospital, 3-5 Agias Olgas Street, Nea Ionia, Athens, Greece
2 Onassis Cardiac Surgery Center, 746 Syngrou Street, Kallithea, Athens, Greece
3 Department of Biology, University of Athens, University Campus, Zographou 15784, Athens, Greece
4 Department of Medical Physics, Medical School, University of Athens, 75 Mikras Asias Street, 11527 Athens, Greece
5 Athens General Hospital ‘G. Gennimatas’, 154 Mesogion, Athens, Greece

* Corresponding author: skottou{at}med.uoa.gr

The objective of this study was to investigate the patient and staff doses in the most frequent interventional cardiology (IC) procedures performed in Onassio, the largest Cardiac Centre in Greece. Data were collected from three digital X-ray systems for 212 coronary angiographies, 203 percutaneous transluminal coronary angioplasties (PTCA) and 134 various electrophysiological studies. Patient skin dose was measured using suitably calibrated slow radiotherapy films and cardiologist dose using suitably calibrated thermoluminescent dosemeters placed on left arm, hand and foot. Patient median dose area product (DAP) (all examinations) ranged between 6.7 and 83.5 Gy cm2. Patient median skin dose in PTCA was 799 mGy (320–1660 mGy) and in RF ablation 160 mGy (35–1920 mGy). Median arm, hand and foot dose to the cardiologist were 12.6, 27 and 13 µSv, respectively, per procedure. The great range of radiation doses received by both patients and operators confirms the need for continuous monitoring of all IC techniques.


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