The purpose of this study was to assess the suitability of different r
adiation dosimetry methods and record radiation exposures during paedi
atric catheterization. Three methods of dosimetry were employed: therm
oluminescent dosimetry (TLD), dose-area product and calculation of ent
rance surface dose from calibrated exposure factors. Examinations incl
uded bi-plane fluoroscopy, and cineangiography for diagnosis and treat
ment of congenital heart disease. The most suitable method of radiatio
n dosimetry for cardiac catheterization is the use of calculated entra
nce dose or a dose-area product meter. Children were exposed to high l
evels of radiation during cardiac catheterization but there was a wide
variation in radiation dosage. Careful consideration should be given
to the suitability of radiation dosimetry for cardiac catheterization.