Randomized Controlled Trial of Patient Positioning and Operator Radiation Exposure During Lower Extremity Catheter Angiography Article Swipe
Ákos Bérczi
,
Fanni Éva Szablics
,
Anita Nelli Simon
,
Gabriella Taba
,
D. Papp
,
Reusz György
,
Ákos Pataki
,
Artúr Hüttl
,
Balázs Nemes
,
Csaba Csobay-Novák
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/life15091433
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/life15091433
Digital subtraction angiography (DSA) remains an important reference modality for evaluating chronic limb-threatening ischemia (CLTI), with left transradial access (TRA) increasingly favored for its lower complication rates and patient comfort. Radiation safety for operators is paramount, yet the impact of patient positioning on scatter radiation during lower limb diagnostic catheter angiography (CA) is understudied. This single-center randomized controlled trial evaluated whether head-first (HF) vs. feet-first (FF) supine patient orientation affects operator radiation exposure during lower extremity CA from left TRA. Between February and August 2024, 24 patients with CLTI were enrolled and randomized to HF or FF positions. Operator radiation exposure was measured using thermoluminescent dosimeters (TLDs) at the eye, chest, and left ring finger. Background radiation was subtracted. Procedures were standardized and performed by a single experienced interventional radiologist. Fluoroscopy time, dose area product (DAP), and contrast usage were recorded. No statistically significant differences were found between groups in patient BMI and procedural parameters. Patient positioning (HF vs. FF) did not significantly impact operator radiation exposure. A trend toward higher finger exposure in FF position suggests the need for optimized hand protection. These findings support flexible patient positioning without compromising operator safety, reinforcing adherence to ALARA principles.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/life15091433
- OA Status
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- References
- 30
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All OpenAlex metadata
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https://doi.org/10.3390/life15091433Digital Object Identifier
- Title
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Randomized Controlled Trial of Patient Positioning and Operator Radiation Exposure During Lower Extremity Catheter AngiographyWork title
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articleOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-09-12Full publication date if available
- Authors
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Ákos Bérczi, Fanni Éva Szablics, Anita Nelli Simon, Gabriella Taba, D. Papp, Reusz György, Ákos Pataki, Artúr Hüttl, Balázs Nemes, Csaba Csobay-NovákList of authors in order
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https://doi.org/10.3390/life15091433Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.3390/life15091433Direct OA link when available
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0Total citation count in OpenAlex
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30Number of works referenced by this work
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