Weight
|
Size
|
Colour of the eyes
|
Left or Right handed
|
Smoking status
|
Diabetes
|
Myopia
|
Corticosteroids intake
|
History of cancer and radiotherapy
|
History of treated cataract
|
History of eye traumatism
|
Congenital cataract
|
History of CT scans and localisation
|
History of significant occupational exposure to ionising radiation for more than 12 consecutive months
|
Occupational history
|
List of all centres and periods of activity
|
For each period, precise:
|
Coronary angiography?
|
Mean number of procedures per week or year
|
Radial or femoral access route
|
Coronary angioplasty?
|
Mean number of procedures per week or year
|
Radial or femoral access route
|
Pacemaker or intracardiac defibrillator: implantation ?
|
Mean number of procedures per week or year
|
Mean fluoroscopy time per procedure
|
Pacemaker or intracardiac defibrillator: resynchronisation?
|
Mean number of procedures per week or year
|
Mean fluroscopy time per procedure
|
Radiofrequency catheter ablation except atrial fibrillation ?
|
Mean number of procedures per week or year
|
Mean fluroscopy time per procedure
|
Radiofrequency catheter ablation of atrial fibrillation?
|
Mean number of procedures per week or year
|
Mean fluroscopy time per procedure
|
Frequency of use of radiation protection tools:
|
Lead apron
|
Lead thyroid shield
|
Lead eye glasses (goggles)
|
Other eye protection
|
Lead gloves
|
Protective mobile screen
|
Radiation protection cabin
|
Frequency of use of dosimetric badge
|