TY - JOUR JO - EuroIntervention TI - EffectivenesS of additional x-ray PRotection dEviceS in reducing Scattered radiation in radial interventiOn: the ESPRESSO randomized trial AB - <span class="abstracts-titres">Aims:</span>&mdash;We examine the impact of three different radiation protection devices in a real-world setting of radial artery catheterization.<br /><br /><span class="abstracts-titres">Methods and results:</span>&mdash; In an all-comer randomized trial, consecutive coronary radial diagnostic and intervention procedures were assigned in 1:1:1 ratio to shield-only protection (shield group), shield and overlapping 0.5mm Pb panel curtain (shield+curtain group) or shield, curtain and additional 75x40cm, 0.5mm Pb drape placed across the waist of the patient (shield+curtain+drape group).A total of 614 radial procedures were randomized (n=193 shield, n=220 shield+curtain, n=201 shield+curtain+drape). There were no differences among groups in patients&rsquo; or procedural characteristics. The primary endpoint (relative exposure ratio between operator&rsquo;s exposure in &mu;Sv and patient exposure, dose area product in cGy&middot;cm2) was significantly lower in the shield+curtain+drape group for both first operator (20% reduction vs shield, 16% vs shield+curtain, p=0.025) and assistant (39% reduction vs shield, 25% vs shield+curtain, p=0.009).<br /><br /><span class="abstracts-titres">Conclusions:</span>&mdash; The use of an additional drape reduced radiation exposure of both the first and second operator during routine radial procedures; a shield-attached curtain alone was only partially effective. AU - Anadol Remzi AU - Brandt Moritz AU - Merz Nico AU - Knorr Maike AU - Ahoopai Majid AU - Geyer Martin AU - Krompiec Damian AU - Wenzel Philip AU - Munzel Thomas AU - Gori Tommaso VL - IS - Y1 - 28/04/2020 Y1 - 2020 DOI - 10.4244/EIJ-D-19-00945 SP - KW - radial KW - drug-eluting stent KW - clinical research KW - clinical trials KW - radiation protection PB - Europa Digital & Publishing UR - https://eurointervention.pcronline.com/article/effectiveness-of-additional-x-ray-protection-devices-in-reducing-scattered-radiation-in-radial-interventionthe-espresso-randomized-trial SN - 1774-024X ER -