Evaluation of Occupational and Patient Dose in Challenging Hemodialysis Catheter Placement

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RASEKHI ALIREZA; ABOLHASANI FOROUGHI AMIN; ZEINALI RAFSANJANI BANAFSHEH; SAEEDI MOGHADAM MAHDI; Zarei Fariba; NAZERI MASOUME

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Journal: Iranian Journal of Radiology Year:2017 | Volume:14 | Issue:3 Page(s): 0-0

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Title

Evaluation of Occupational and Patient Dose in Challenging Hemodialysis Catheter Placement

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Keywords

Challenging Catheterization

Interventional Radiology

Radiation Dose

Abstract

Background: Catheter hemodialysis is the last choice for end stage kidney disease patients. Unfortunately, long-term catheterization can lead to problems that make re-catheterization challenging. Sometimes the physician has to try catheterization through several veins and stays close to the patient during the procedure that may lead to a high Radiation Dose exposure to the radiologist, so that some radiologists refuse to admit such patients. Objectives: The objective of this study was an assessment of the Radiation Dose of radiologists and patients during the placement of double lumen catheter in difficult cases. Patients and Methods: The thermoluminescent dosimeter (TLD) was used to measure the delivered Radiation Dose to physicians. During the procedure, a package of dosimeter was placed on the thyroid shield and another on the chest, under the apron in order to calculate the occupational effective dose. Moreover, patient information and parameters of the procedure were recorded in order to estimate the patient dose during the procedure. Results: The mean effective dose provided by TLDs, dose/procedure, and the annual dose of physicians resulted from this procedure were 30. 38 Sv, 0. 02 Sv/procedure, and 350. 20 Sv/y, respectively. The mean dose area product, dose, and calculated peak skin dose obtained in this study were 151. 44 cGy. cm2, 851. 71 mGy, and 384. 97 mGy, respectively. Conclusion: The mean effective dose of physician per case is about 0. 02 Sv/procedure which is much less than the Radiation Dose per other procedures. Briefly, it can conclude that double lumen replacement does not deliver an unacceptable Radiation Dose to the physician and even the Radiation Dose resulted from these cases are much less than the other procedures.

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APA: Copy

RASEKHI, ALIREZA, ABOLHASANI FOROUGHI, AMIN, ZEINALI RAFSANJANI, BANAFSHEH, SAEEDI MOGHADAM, MAHDI, Zarei, Fariba, & NAZERI, MASOUME. (2017). Evaluation of Occupational and Patient Dose in Challenging Hemodialysis Catheter Placement. IRANIAN JOURNAL OF RADIOLOGY, 14(3), 0-0. SID. https://sid.ir/paper/284638/en

Vancouver: Copy

RASEKHI ALIREZA, ABOLHASANI FOROUGHI AMIN, ZEINALI RAFSANJANI BANAFSHEH, SAEEDI MOGHADAM MAHDI, Zarei Fariba, NAZERI MASOUME. Evaluation of Occupational and Patient Dose in Challenging Hemodialysis Catheter Placement. IRANIAN JOURNAL OF RADIOLOGY[Internet]. 2017;14(3):0-0. Available from: https://sid.ir/paper/284638/en

IEEE: Copy

ALIREZA RASEKHI, AMIN ABOLHASANI FOROUGHI, BANAFSHEH ZEINALI RAFSANJANI, MAHDI SAEEDI MOGHADAM, Fariba Zarei, and MASOUME NAZERI, “Evaluation of Occupational and Patient Dose in Challenging Hemodialysis Catheter Placement,” IRANIAN JOURNAL OF RADIOLOGY, vol. 14, no. 3, pp. 0–0, 2017, [Online]. Available: https://sid.ir/paper/284638/en

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