Healthcare professionals in fluoroscopic laboratories face significant occupational hazards, including higher risk of cancer, cataracts, and reproductive concerns due to prolonged exposure to iodizing radiation, and orthopedic injuries stemming from long-term use of heavy aprons as protection from radiation.

Despite substantial advancements in radiation protection technology, adoption of these advancements has been slow, hindered by the significant upfront costs of implementation and the lag in revising institutional and regulatory radiation exposure thresholds to reflect the capabilities of contemporary enhanced radiation protection devices (ERPDs).

This multi-society statement, endorsed by the Society for Cardiovascular Angiography & Interventions (SCAI), American College of Cardiology (ACC), the American Society of Echocardiography (ASE), the Heart Rhythm Society (HRS), the Society of Interventional Radiology (SIR), and the Society for Vascular Surgery (SVS), calls for mandatory implementation of ERPDs to meet ALARA (as low as reasonably achievable) standards. 

All authors: David G. Rizik MD, MSCAI (Chair); Nadia R. Sutton, MD, MPH, FSCAI (Co-Chair); Alexandra J. Lansky, MD, MSCAI; Mirvat Alasnag, MD; Gabriel Bartal, MD; Mary Beth Brady, MD, FASE; Megan Coylewright, MD, MPH, FSCAI; Scott M. Firestone; James A. Goldstein, MD, FSCAI; Andrew M. Goldsweig, MD, MS, FSCAI; Dean J. Kereiakes, MD, MSCAI; Melissa Kirkwood, MD; Ryan D. Madder, MD, FSCAI; Roxana Mehran, MD, MSCAI; William J. Nicholson, MD; Graciano Paulo, PhD; Sunil V. Rao, MD, FSCAI; Kenneth Rosenfield, MD, MSCAI; Cheryl C. Schultz, MS; Kamala P. Tamirisa, MD, FHRS||; Kristin A. Tuozzo, DNP, RN-BC; Poonam Velagapudi, MD, MS, FSCAI; Amit N. Vora, MD, MPH, FSCAI; Celina M. Yong, MD, MBA, MSc, FSCAI; and James B. Hermiller, MD, MSCAI.