DING Yan-qiu, ZHANG Ji-mian, JIAO Ling, WU Quan, ZHANG Wen-yi, KOU Ming-ying, ZHANG Xiao-dong, FENG Xin, XU Ming-fa, ZHANG Liang-an
Objective To monitor and analyze the radiation dose to patients in cardiovascular interventional procedures and the radiation dose-related indicators, in order to provide a basis data for improving radiation protection of patients. Methods The clinical data of 60 cases of complete cardiovascular interventional procedures were collected; including coronary angiography (CA) and percutaneous transluminal coronary angioplasty (PTCA). The patient-received radiation doses and other related factors were studied. TLD personal dosimeter radiation field matrix method was used to measure fluorescence time, the entrance skin dose (ESD), the peak skin dose (PSD), dosearea product (DAP) and other indicators. Results The range of fluoroscopy time was 1.0~44.7min. The range of average entrance skin dose (ESD) was 2.6~283.5mGy. The range of peak skin dose (PSD) was 8.6~1156.9 mGy. The range of dose-area plus is 1.5~170.1 Gy·cm2. The effective dose is 0.2~23.8 mSv. The dose along irradiation field is 0.1~371.6 mGy. The fluorescence time, entrance skin dose (ESD),peak skin dose (PSD) of the group CA + PTCA are greater than the group CA and the difference has statistical significance(P < 0.05). Comparing different puncture methods, the fluorescence time, ESD, PSD of the group CA + PTCA are less difference with the group CA. Conclusion The administer department should pay more attention to the peak skin dose of the patient received in cardiovascular interventional radiological operation.