Incorporation of the EggNest Complete enhanced radiation protection device did not significantly delay door-to-balloon times compared to standard shielding (48.0 vs 52.0 min; p=0.32).
Observational (n=133)
No
Does the use of an enhanced radiation protection device (ERPD) delay door-to-balloon (D2B) time in patients presenting with STEMI?
The incorporation of an enhanced radiation protection device in the catheterization laboratory does not delay door-to-balloon times for STEMI patients, supporting its use for occupational safety without compromising reperfusion speed.
Effect estimate: β = 1.14
Absolute Event Rate: 48% vs 52%
p-value: p=0.32
Study objective To evaluate whether incorporation of the EggNest Complete enhanced radiation protection device (ERPD) affects door-to-balloon (D2B) time in treatment of patients presenting with ST-elevation myocardial infarction (STEMI). Design Single-center retrospective observational study. Setting Catheterization laboratories in a tertiary care hospital. Participants 133 consecutive patients presenting with STEMI (71 in the ERPD group, 62 in the standard shielding) group from July 1, 2024 until December 31, 2025. Interventions Evaluation of D2B time components in rooms with ERPD vs standard shielding. Main outcome measure D2B time (total time and time-based components). Results There was no statistically significant difference in overall D2B times between groups (48.0 vs 52.0 min; p = 0.32) or it's individual components. Use of the EggNest Complete ERDP was not associated with D2B (β = 1.14, p = 0.88). Conclusion Use of the EggNest Complete ERPD does not delay STEMI reperfusion. These findings support a paradigm shift from operator-dependent shielding to integrated, system-level radiation protection, demonstrating that improvements in occupational safety for cath lab workers can be achieved without tradeoffs in the timeliness of life-saving reperfusion therapy.
Hutchings et al. (Mon,) conducted a observational in ST-elevation myocardial infarction (STEMI) (n=133). EggNest Complete enhanced radiation protection device (ERPD) vs. Standard shielding was evaluated on Door-to-balloon (D2B) time (β = 1.14, p=0.32). Incorporation of the EggNest Complete enhanced radiation protection device did not significantly delay door-to-balloon times compared to standard shielding (48.0 vs 52.0 min; p=0.32).