Wyniki wyszukiwania - Biblioteka Nauki

1

New methods and techniques in interventional cardiology. Evaluation the knowledge of medical students of Jagiellonian University Medical College

100%

Stępień K. , Połetek K. , Komornik M. , Siudak Z. , Tokarek T. , Dudek D.

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nr 1

2

Patient and physician exposure to X-rays at pediatric interventional cardiology – from world to Poland

75%

Mirowski M. , Domienik-Andrzejewska J. , Moszura T.

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nr 6

569-580

EN

Ionizing radiation is considered as a harmful factor to health. However, X‑rays are widely used in diagnostic and therapeutic procedures such as those performed during cardiac interventions. Their use is particularly invaluable in saving life procedures when the risk of adverse effects of radiation is relatively low compared to the consequences of non-treated or treated with other invasive methods diseases. One branch of these types of medical procedures is interventional cardiology in pediatrics due to possible higher than in adults risks of developing cancer in exposed to ionizing radiation children. On the other hand, medical staff in particular physician, may be exposed to relatively high radiation levels during their work. Parallel with enlarging workload (growing number of procedures per year), high levels of cumulative doses to most exposed, and often not protected, parts of operator’s body as eye lenses and brain may be achieved. Exposure to X‑rays in pediatric interventional cardiology is a worldwide point of scientific interest from around 65 years, however assessment and simulating low level doses is still developing. In this review found data presents various trials of evaluating doses or levels of exposure to both medical staff and patient as well as methods of optimization and protection against X‑rays in pediatric cardiac interventional procedures. The issue of establishing diagnostic reference levels was also taken into consideration during analysis. Thirty papers from period 2013 to 2023 were analyzed. The main assumption of this condensed review is to reveal radiation protection methods worldwide and in Poland.

3

The effect of lead free cap on the doses of ionizing radiation to the head of interventional cardiologists working in haemodynamic room

75%

Grabowicz W. , Masiarek K. , Górnik T. , Grycewicz T. , Brodecki M. , Dabin J. , Huet C. , Vanhavere F. , Domienik-Andrzejewska J. K.

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nr 5

549-560

EN

Objectives The study aim was to analyse the influence of the lead free cap on doses received by interventional cardiologists. The impact of lead free cap on doses to the head were evaluated in number of studies. As different methods used to assess the attenuation properties of protective cap can lead to ambiguous results, a detailed study was performed. Material and Methods The effectiveness of a lead free cap in reducing the doses to the skin was assessed in clinic by performing measurements with thermoluminescent dosimeters attached inside and outside the cap first during individual coronary angiography (CA) or CA/percutaneous transluminal coronary angioplasty (CA/PTCA) procedures and then cumulated during few procedures of the same type. In order to investigate the effect of the cap on reducing the doses to the brain additional measurements were performed with a male Alderson Rando and polymethyl methacrylate (PMMA) phantoms representing the physician and the patient, respectively for different projections. The brain dose per procedure, annual and cumulated during entire working practice were estimated for both cases working with and without the cap. Results The dose reduction factor (RF) for the skin (the quotient of doses outside and inside the cap) vary from 1.1 up to 4.0 in clinical conditions; on average 2.3-fold reduction is observed in the most exposed left temple. The RFs determined for the part of the head covered by the cap range from 1.4 to 1.8 while for the brain from 1.0 to 1.1 depending on the projection. The estimated annual brain dose for interventional cardiologist performing yearly 550 CA/PTCA procedures without any protective shields is 7.2 mGy and it is reduced with the lead free cap by an average factor of 1.1. Conclusions The study results proved the considerable effectiveness of lead free cap to protect the skin but very limited to protect the brain.

4

Problematyka tworzyw metalowych stosowanych na implanty w kardiologii zabiegowej

63%

Paszenda Z.

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2002

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tom R. 5, nr 21

3-9

PL

Prezentowana praca dotyczy problematyki biomateriałów metalowych przeznaczonych na implanty stosowane w leczeniu choroby niedokrwiennej serca. W pracy przedstawiono własności, którymi powinny charakteryzować się stenty wieńcowe oraz klasyfikację uwzględniającą technikę ich rozprężania, technologię wykonania oraz rodzaje stosowanych kształtów. Ponadto omówiono kryteria oceny jakości stali Cr-Ni-Mo stosowanej jako biomateriał w kardiologii zabiegowej.

EN

The presented work is connected with issues of metal biomaterials designed for implants used in treatment of the ischaemic heart disease. There are presented the properties that should characterize coronary stents and classification taking into account their method of development, manufacturing technology, and types of the shapes used. Moreover, criteria are discussed of evaluation of the Cr-Ni-Mo steel used as a material in the interventional cardiology.

5

Badania hemozgodności warstw pasywno-węglowych stosowanych do uszlachetnienia powierzchni stentów wieńcowych

51%

Paszenda Z. , Duda B. , Wilczek P.

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tom R. 6, nr 26

3-11

PL

Prezentowana praca dotyczy problematyki uszlachetniania powierzchni implantów stosowanych w kardiologii zabiegowej. Zasadniczym jej celem była ocena biotolerancji w środowisku krwi warstw pasywnej i pasywno-węglowej wytworzonych na powierzchni implantów. Zgodnie z zaleceniami norm dla implantów będących w kontakcie z krwią ponad 30 dni zrealizowano badania dotyczące cytotoksyczności (na ekstraktach i w kontakcie bezpośrednim) oraz badania hemolizy i wykrzepiania. Uzyskane w pracy wyniki wskazują, że biotolerancja warstwy pasywnej oraz pasywno-węglowej oceniana na podstawie obowiązujących standardów w badaniach in vitro jest dobra.

EN

Presented work refers to the problem of improvement of the surfaces of stents used in the operative cardiology. Its main goal has been assessment of the biotolerance in the blood environment of the passive and passive-carbon coatings, developed on the implants' surfaces. According to recommendations of standards for implants interacting with blood for more than 30 days, investigations were carried out of the cytotoxicity (using extracts and in the direct contact), as well as haemolysis and coagulation. Research results collected suggest that the biotolerance of the passive and passive-carbon coatings evaluated basing on the standards binding in the in vitro tests is good.