Impact of the table height and the operator's height on the level of radiation delivered to interventional cardiologists

Background Interventional cardiologists count among the health professionals that are most exposed to ionizing radiation. To minimize exposure, it is recommended that the patient be placed at the maximum distance possible from the X-ray source, but this recommendation has not been clinically validated. Purpose We aimed to investigate the impact of the average table height on the level of radiation delivered to cardiologists performing coronary interventions. Methods The population for analysis included all invasive coronary procedures performed in a single catheterization laboratory (cathlab) in our centre from March to June 2017. The primary endpoint was operator radiation exposure, as assessed using personal electronic dosimeters located on the operator's left arm. Results In total, 225 invasive coronary procedures were analyzed. When the average table height was 1126 mm or more, the operators received a radiation dose that was, on average, 53% lower than when the table was lower than 1126 mm ( P  = 0.02). This reduction remained significant by multivariate analysis adjusted for the operator ( P Conclusions Our study suggests that the position of the patient table at a height of 1126 mm or higher from the ground decreases the radiation exposure of the operator by 53%, regardless of the operator.