Optimisation of Radiation Protection in the Cardiac Catheter Lab

  • Research type

    Research Study

  • Full title

    The Radiation ProtEction for Dose RedUction in the Cardiac CathEter Lab Study - The REDUCE trial

  • IRAS ID

    315967

  • Contact name

    John Hung

  • Contact email

    johndavid.hung@lhch.nhs.uk

  • Sponsor organisation

    Liverpool Heart and Chest Hospital

  • Clinicaltrials.gov Identifier

    NCT06875583

  • Duration of Study in the UK

    1 years, 0 months, 0 days

  • Research summary

    Recent decades have seen major increases in x-ray guided procedures in interventional cardiology, radiology and vascular surgery. Exposure to ionising radiation is known to be an inherent risk and remains a serious and unresolved threat to the health of operators and their team. It is associated with an increased incidence of brain and blood cancers, cataracts, and recent mechanistic data indicates significantly increased DNA damage in those without leaded leg protection.
    Although existing standard radiation protection measures somewhat reduces exposure, all cardiac catheter lab personnel still receive a certain dose of radiation and continue to accumulate lifetime exposure. Furthermore, leaded personal protective equipment is heavy, leads to orthopaedic complications, and detracts from operator comfort.
    Novel radiation protection devices such as RAMPART may significantly reduce radiation doses to cardiac catheter lab personnel, and potentially allow the use of lighter lead, or no lead at all. In this study we aim to investigate if use of RAMPART significantly reduces radiation exposure, when compared with standard radiation protection.
    Standard coronary intervention procedures will be randomised to RAMPART or standard (radiation protection), and operators and Cath lab team doses will be compared.

  • REC name

    South West - Frenchay Research Ethics Committee

  • REC reference

    24/SW/0148

  • Date of REC Opinion

    23 Dec 2024

  • REC opinion

    Further Information Favourable Opinion