ArticleJournal of the Society for Cardiovascular Angiography & Interventions2026
Impact of a Novel Radiation Protection System on Door-to-Balloon Time During STEMI Intervention.
Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Incorporating of an enhanced radiation protection device into the treatment of ST elevation myocardial infarctions: A single center retrospective analysis.American heart journal plus : cardiology research and practice · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Prolonged radiation exposure remains a critical occupational hazard in the catheterization lab, typically mitigated by lead aprons, which contribute to orthopedic injury. Recent innovations like the Rampart M1128 enhanced radiation protection system (Rampart IC) aim to reduce these risks, but their impact on door-to-balloon (D2B) time in ST-elevation myocardial infarction (STEMI) has not been evaluated. Methods: We conducted a single-center retrospective cohort study comparing D2B times among 174 STEMI patients undergoing percutaneous coronary intervention: 87 treated using lead aprons and 87 treated utilizing the Rampart M1128 system. Patients were randomly selected from a pool of 298. Analyses were adjusted for potential confounders, including bleeding, use of vasopressors, intubation, mechanical support, electrical instability, access type, and prior revascularization. Results: Unadjusted median D2B time was 31.0 minutes in the Rampart group vs 31.1 minutes in the lead apron group. Adjusted analysis yielded a mean D2B difference of 1.51 minutes (95% CI, -0.86 to 3.87; Conclusions: Implementation of an enhanced radiation protection system was noninferior to standard lead apron use regarding D2B time in STEMI patients. This suggests such systems can enhance operator safety without compromising the quality of patient care. Broader adoption may be justified to reduce occupational harm while maintaining high-quality cardiovascular outcomes.
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