{"id":"https://openalex.org/W7225087375","doi":"https://doi.org/10.1016/j.jscai.2026.105750","title":"Observed Lead-Free Radiation Exposure With the Rampart Guardian System During Endovascular Procedures","display_name":"Observed Lead-Free Radiation Exposure With the Rampart Guardian System During Endovascular Procedures","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225087375","doi":"https://doi.org/10.1016/j.jscai.2026.105750"},"language":"en","primary_location":{"id":"doi:10.1016/j.jscai.2026.105750","doi":"https://doi.org/10.1016/j.jscai.2026.105750","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jscai.2026.105750","pdf_url":null,"source":{"id":"https://openalex.org/S4210220669","display_name":"Journal of the Society for Cardiovascular Angiography & Interventions","issn_l":"2772-9303","issn":["2772-9303"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Society for Cardiovascular Angiography & Interventions","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jscai.2026.105750","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028786149","display_name":"Matthew S. Herzig","orcid":"https://orcid.org/0000-0002-1915-2915","observed_orcids":["https://orcid.org/0000-0002-1915-2915"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I1340179700","display_name":"NewYork\u2013Presbyterian Hospital","ror":"https://ror.org/03gzbrs57","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1340179700"]},{"id":"https://openalex.org/I4405272987","display_name":"Weill Cornell Medical Center","ror":"https://ror.org/052v90092","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I205783295","https://openalex.org/I4387153466","https://openalex.org/I4405272987"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew S. Herzig","raw_affiliation_strings":["Division of Cardiology, NewYork-Presbyterian Hospital\u2013Weill Cornell Medical Center, New York, NY","Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA"],"raw_orcid":"https://orcid.org/0000-0002-1915-2915","affiliations":[{"raw_affiliation_string":"Division of Cardiology, NewYork-Presbyterian Hospital\u2013Weill Cornell Medical Center, New York, NY","institution_ids":["https://openalex.org/I1340179700","https://openalex.org/I4405272987"]},{"raw_affiliation_string":"Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049851046","display_name":"Ajar Kochar","orcid":"https://orcid.org/0000-0003-3570-2136","observed_orcids":["https://orcid.org/0000-0003-3570-2136"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ajar Kochar","raw_affiliation_strings":["Division of Cardiology, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111433595","display_name":"James Bernard Hermiller","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1320343167","display_name":"Ascension","ror":"https://ror.org/00s1szh94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1320343167"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James B. Hermiller","raw_affiliation_strings":["Division of Cardiovascular Medicine, Ascension St. Vincent, Carmel, IN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, Ascension St. Vincent, Carmel, IN","institution_ids":["https://openalex.org/I1320343167"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011259060","display_name":"Rhian E. Davies","orcid":"https://orcid.org/0000-0002-5973-5162","observed_orcids":["https://orcid.org/0000-0002-5973-5162"]},"institutions":[{"id":"https://openalex.org/I4210111146","display_name":"WellSpan Health","ror":"https://ror.org/01nknep14","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111146"]},{"id":"https://openalex.org/I4210156405","display_name":"WellSpan York Hospital","ror":"https://ror.org/04r67yj20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111146","https://openalex.org/I4210156405"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rhian E. Davies","raw_affiliation_strings":["Division of Cardiovascular Medicine, WellSpan Health, York, PA"],"raw_orcid":"https://orcid.org/0000-0002-5973-5162","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, WellSpan Health, York, PA","institution_ids":["https://openalex.org/I4210111146","https://openalex.org/I4210156405"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110666401","display_name":"William J. Nicholson","orcid":"https://orcid.org/0000-0001-7586-4258","observed_orcids":["https://orcid.org/0000-0001-7586-4258"]},"institutions":[{"id":"https://openalex.org/I132943300","display_name":"Emory Healthcare","ror":"https://ror.org/00yksxf10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I132943300","https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William J. Nicholson","raw_affiliation_strings":["Division of Cardiovascular Medicine, Emory Healthcare, Atlanta, GA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, Emory Healthcare, Atlanta, GA","institution_ids":["https://openalex.org/I132943300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113489275","display_name":"Hibiki Orui","orcid":"https://orcid.org/0009-0009-3542-4202","observed_orcids":["https://orcid.org/0009-0009-3542-4202"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hibiki Orui","raw_affiliation_strings":["Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054703789","display_name":"Eric Alexander Secemsky","orcid":"https://orcid.org/0000-0003-3861-3163","observed_orcids":["https://orcid.org/0000-0003-3861-3163"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eric A. Secemsky","raw_affiliation_strings":["Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA","Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA"],"raw_orcid":"https://orcid.org/0000-0003-3861-3163","affiliations":[{"raw_affiliation_string":"Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5054703789"],"corresponding_institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"],"apc_list":{"value":2400,"currency":"USD","value_usd":2400},"apc_paid":{"value":2400,"currency":"USD","value_usd":2400},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85355723,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"105750","last_page":"105750"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10844","display_name":"Radiation Dose and Imaging","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10844","display_name":"Radiation Dose and Imaging","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12299","display_name":"Radiation Shielding Materials Analysis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2505","display_name":"Materials Chemistry"},"field":{"id":"https://openalex.org/fields/25","display_name":"Materials Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/occupational-radiation-exposure","display_name":"occupational radiation exposure","score":0.8709999918937683},{"id":"https://openalex.org/keywords/interventional-radiologists","display_name":"interventional radiologists","score":0.6290000081062317},{"id":"https://openalex.org/keywords/musculoskeletal-strain","display_name":"musculoskeletal strain","score":0.7649999856948853}],"concepts":[{"id":"https://openalex.org/C2779925993","wikidata":"https://www.wikidata.org/wiki/Q336938","display_name":"Radiation exposure","level":2,"score":0.8004000186920166},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7232999801635742},{"id":"https://openalex.org/C2777620619","wikidata":"https://www.wikidata.org/wiki/Q1574099","display_name":"Radiation protection","level":2,"score":0.5313000082969666},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5117999911308289},{"id":"https://openalex.org/C2909875076","wikidata":"https://www.wikidata.org/wiki/Q6508434","display_name":"Lead apron","level":3,"score":0.5011000037193298},{"id":"https://openalex.org/C2987845665","wikidata":"https://www.wikidata.org/wiki/Q17072363","display_name":"Occupational exposure","level":2,"score":0.43650001287460327},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4357999861240387},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.4081000089645386},{"id":"https://openalex.org/C2779170139","wikidata":"https://www.wikidata.org/wiki/Q7280357","display_name":"Radiation monitoring","level":2,"score":0.4047999978065491},{"id":"https://openalex.org/C2776680780","wikidata":"https://www.wikidata.org/wiki/Q15964604","display_name":"Guardian","level":2,"score":0.4043999910354614},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.4025000035762787},{"id":"https://openalex.org/C2987700449","wikidata":"https://www.wikidata.org/wiki/Q186161","display_name":"Radiation dose","level":2,"score":0.38960000872612},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3776000142097473},{"id":"https://openalex.org/C2986508813","wikidata":"https://www.wikidata.org/wiki/Q1574099","display_name":"Radiation shielding","level":3,"score":0.36980000138282776},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3483000099658966},{"id":"https://openalex.org/C3020003399","wikidata":"https://www.wikidata.org/wiki/Q3070621","display_name":"External beam radiation","level":3,"score":0.3075000047683716},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.2865999937057495},{"id":"https://openalex.org/C2776805002","wikidata":"https://www.wikidata.org/wiki/Q614984","display_name":"Fluoroscopy","level":2,"score":0.28630000352859497},{"id":"https://openalex.org/C2777093003","wikidata":"https://www.wikidata.org/wiki/Q6508345","display_name":"Lead (geology)","level":2,"score":0.25769999623298645}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.jscai.2026.105750","doi":"https://doi.org/10.1016/j.jscai.2026.105750","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jscai.2026.105750","pdf_url":null,"source":{"id":"https://openalex.org/S4210220669","display_name":"Journal of the Society for Cardiovascular Angiography & Interventions","issn_l":"2772-9303","issn":["2772-9303"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Society for Cardiovascular Angiography & Interventions","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.jscai.2026.105750","doi":"https://doi.org/10.1016/j.jscai.2026.105750","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jscai.2026.105750","pdf_url":null,"source":{"id":"https://openalex.org/S4210220669","display_name":"Journal of the Society for Cardiovascular Angiography & Interventions","issn_l":"2772-9303","issn":["2772-9303"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Society for Cardiovascular Angiography & Interventions","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.979200005531311,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W151756397","https://openalex.org/W2802298610","https://openalex.org/W4407767734"],"related_works":["https://openalex.org/W4407767734","https://openalex.org/W7212007997","https://openalex.org/W4387783413","https://openalex.org/W2142049643","https://openalex.org/W4416921447","https://openalex.org/W2048618701","https://openalex.org/W4401996835","https://openalex.org/W2345689848","https://openalex.org/W2108173677","https://openalex.org/W1983631834"],"abstract_inverted_index":{"Physicians":[0],"who":[1],"perform":[2],"fluoroscopy-guided":[3],"endovascular":[4,41],"procedures":[5],"experience":[6],"high":[7],"occupational":[8],"radiation":[9,33,38],"exposure":[10,39],"and":[11,48],"musculoskeletal":[12],"strain.1":[13],"Modern":[14],"shielding":[15],"systems":[16],"eliminate":[17],"lead":[18],"aprons":[19],"while":[20],"mitigating":[21],"these":[22],"work-related":[23],"hazards.":[24],"The":[25],"efficacy":[26,55],"of":[27,56],"the":[28,53,57],"Rampart":[29,60],"Defender":[30],"mobile":[31],"floor":[32],"protection":[34],"system":[35,62],"in":[36,46],"reducing":[37],"to":[40,64],"operators":[42],"has":[43],"been":[44],"demonstrated":[45],"observational":[47],"randomized":[49],"controlled":[50],"trials,2,3":[51],"but":[52],"real-world":[54],"novel":[58],"ceiling-mounted":[59],"Guardian":[61],"remains":[63],"be":[65],"described.":[66]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-03T00:00:00"}