<div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="325738455" paraeid="{9c5cdb89-a0d1-4a4f-867f-18e98dd6481d}{22}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Operator radiation exposure in the cardiac catheterization laboratory</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>(</span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab) significantly decreases with the use of the RADPAD device<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">—</span><span class="NormalTextRun SCXW16869470 BCX0"> a novel,<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">scatter-radiation absorbing shield<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">—</span><span class="NormalTextRun SCXW16869470 BCX0"> cardiologists<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">say.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1022091780" paraeid="{02ef64b9-7146-4bce-b4f0-c7e94a70203e}{59}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">RADPAD was thoroughly investigated in the investigator-initiated, prospective, randomized-controlled ATTENUATE trial, which<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">demonstrated</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>the safety and efficacy of the shield.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="10156534" paraeid="{515dc49d-b31d-4336-b55f-22687faaac7b}{152}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Giorgio A. Medranda, MD, interventional cardiologist<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">at the St. Francis Heart Center at Good Samaritan University Hospital, West Islip, New York,<span> </span></span></span><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">spoke with</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">CRTonline</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">about ATTENUATE and its implications for<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab operators.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="585982636" paraeid="{6ff76136-cbaa-409c-8e42-f8155780dac3}{228}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">“</span><span class="NormalTextRun SCXW16869470 BCX0">ATTENUATE is the largest investigator-initiated randomized trial to evaluate a sterile scatter-radiation absorbing shield in a contemporary<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">[</span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab],” said Dr. Medranda.</span><span> </span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1181873996" paraeid="{bf4dc6c6-e317-4a85-b66a-208f2bb11c1a}{233}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">“</span><span class="NormalTextRun SCXW16869470 BCX0">By<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">demonstrating</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>a 45.1% reduction in DAP-normalized operator radiation exposure across 1,000 randomized procedures</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">—</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">including coronary,<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">structural</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>and other complex interventions</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">—</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">we provide the strongest contemporary evidence supporting the routine use of this simple radiation safety adjunct.</span><span class="NormalTextRun SCXW16869470 BCX0">”</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1038820489" paraeid="{b6890e86-62f3-4359-8d8b-54b9f6b7f25b}{160}"><span class="NormalTextRun SCXW16869470 BCX0">Dr. Medranda is also the lead author on the the <a href="https://www.jscai.org/article/S2772-9303(26)01258-5/fulltext">latest manuscript</a> reporting data from the trial, published in the<span> </span></span><em><span class="NormalTextRun SCXW16869470 BCX0">Journal of the Society for Cardiovascular Angiography & Interventions</span></em><span class="NormalTextRun SCXW16869470 BCX0"><span> in July</span>.</span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="546354195" paraeid="{515dc49d-b31d-4336-b55f-22687faaac7b}{75}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">While radiation safety continues to improve, interventional cardiologists are constantly exposed to radiation in the<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab.<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">Radiation risks grow as<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">technologies</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>and patient management strategies</span><span> </span><span class="NormalTextRun SCXW16869470 BCX0">expand</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>across the</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>field</span><span class="NormalTextRun SCXW16869470 BCX0">.<span> </span></span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="2099543902" paraeid="{3ed02c70-8351-4ca5-8a16-550a9bb9d377}{167}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Early studies on RADPAD<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">showed that</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>the device<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">reduced scatter radiation</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>exposure</span><span class="NormalTextRun SCXW16869470 BCX0"> </span><span class="NormalTextRun SCXW16869470 BCX0">by<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">20% to 62%</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>during<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">several<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">interventional procedures.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1862528825" paraeid="{5e10cd3f-929a-4d76-bee2-84acc547494e}{101}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">“</span><span class="NormalTextRun SCXW16869470 BCX0">Radiation safety is often discussed in terms of incremental improvements, but cumulative occupational exposure<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">remains</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>a lifelong concern for interventional cardiologists and the entire catheterization laboratory team</span><span class="NormalTextRun SCXW16869470 BCX0">,” said Dr. Medranda.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1097507570" paraeid="{96b5a843-eafb-456d-aca0-c736bc56968e}{235}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">The ATTENUATE (</span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">rAdpad</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">proTecTion</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">drapE</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">iN</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">redUcing</span><span> </span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">rAdiaTion</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>Exposure) trial divided<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab procedures 1:1 into two groups:<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">use of RADPAD versus no use of RADPAD.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="251644208" paraeid="{99e1d87e-7835-4225-b67d-df75d40e76c3}{70}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">The most proximal<span> </span></span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW16869470 BCX0">operator’s</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>dose area product (DAP) - normalized operator dose (E) was the primary outcome in ATTENUATE.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1650126981" paraeid="{e8f7da98-5821-4467-a04c-b44dacf5d1ab}{164}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Data were analyzed from 500<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab cases with RADPAD and 500 cases without RADPAD.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="25016981" paraeid="{6b3d024a-dd16-493e-abe3-73b412f51b78}{135}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Operators who used the RADPAD device had a 45.1% relative reduction in the DAP-normalized operator dose versus operators who<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">didn’t</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>use<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">RADPAD</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>(</span><span class="NormalTextRun SCXW16869470 BCX0">p<0.0001)</span><span class="NormalTextRun SCXW16869470 BCX0">.</span><span> </span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="2133497764" paraeid="{5025969b-e70e-47ee-bcd1-54d03e3be591}{187}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Of the 1,000 cases, 720 were coronary, and the relative reduction in the DAP-normalized operator dose was 21.9% in these cases (p<0.001), while structural cases (n=210) had a 54.4% relative reduction (p=0.10</span><span class="NormalTextRun SCXW16869470 BCX0">94).</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1735756794" paraeid="{3ed02c70-8351-4ca5-8a16-550a9bb9d377}{182}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Limitations of this study include<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">the the lack of generalizability from a single-center study, only the most proximal operator in the<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">cath</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>lab was evaluated,<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">only the RADPAD ORANGE peripheral shield was evaluated, the study was not<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">blinded</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>and the study was not powered to assess the use of RADPAD in less common procedures.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="762973877" paraeid="{653558d9-0160-4b6a-8f08-26bec4532cb6}{158}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Additionally, this study did not evaluate the financial costs of RADPAD nor<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">institutional</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>feasibility for implementing the device.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1271767730" paraeid="{5aa2c35f-bd52-4281-8bbe-c01f4d8f7141}{171}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Dr. Medranda told<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">CRTonline</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>the future of radiation safety will require a layered approach, and the results of ATTENUATE should contribute to the<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">decision-making process for including scatter-radiation shields, such as RADPAD, in addition to imaging protocols, fluoroscopy systems, ceiling-mounted radiation shielding and continued best practices.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":279}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="1642194730" paraeid="{515dc49d-b31d-4336-b55f-22687faaac7b}{79}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">“</span><span class="NormalTextRun SCXW16869470 BCX0">No single intervention will<span> </span></span><span class="NormalTextRun SCXW16869470 BCX0">eliminate</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>occupational radiation exposure, but combining evidence-based protective measures can meaningfully reduce cumulative lifetime dose</span><span class="NormalTextRun SCXW16869470 BCX0">,” he said.</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="342279119" paraeid="{873df873-195d-48da-9f5f-2997a67c8d8a}{47}"><strong><span class="NormalTextRun SCXW16869470 BCX0">Source:</span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></strong></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="382865784" paraeid="{873df873-195d-48da-9f5f-2997a67c8d8a}{99}"><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Medranda GA,<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">Bliagos</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>D, Case BC. Impact of radiation-attenuating<span> </span></span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW16869470 BCX0">drape on</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>exposure in a contemporary cardiac catheterization laboratory: The ATTENUATE trial.<span> </span></span></span><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><em><span class="NormalTextRun SCXW16869470 BCX0">J</span></em><span class="NormalTextRun SCXW16869470 BCX0"><em> Soc</em> <em>Cardiovasc </em></span><em><span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">Angiogr</span> <span class="NormalTextRun SpellingErrorV2Themed SCXW16869470 BCX0">Interv</span></em><span class="NormalTextRun SCXW16869470 BCX0">.<span> </span></span></span><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">2026 July.</span><span class="NormalTextRun SCXW16869470 BCX0"><span> </span>DOI:<span> </span></span></span><a class="Hyperlink SCXW16869470 BCX0" href="https://doi.org/10.1016/j.jscai.2026.105511" target="_blank" rel="noreferrer noopener"><span class="NormalTextRun SCXW16869470 BCX0" data-ccp-charstyle="Hyperlink">10.1016/j.jscai.2026.105511</span></a><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun EmptyTextRun SCXW16869470 BCX0"></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></p> </div> <div class="OutlineElement Ltr SCXW16869470 BCX0"> <p class="Paragraph SCXW16869470 BCX0" lang="EN-US" paraid="250969774" paraeid="{515dc49d-b31d-4336-b55f-22687faaac7b}{71}"><strong><span data-contrast="auto" xml:lang="EN-US" lang="EN-US" class="TextRun MacChromeBold SCXW16869470 BCX0"><span class="NormalTextRun SCXW16869470 BCX0">Image Credit:</span><span class="NormalTextRun SCXW16869470 BCX0"> Carolina K Smith MD</span><span class="NormalTextRun SCXW16869470 BCX0"> – stock.adobe.com</span></span><span class="EOP Selected SCXW16869470 BCX0" data-ccp-props="{}"> </span></strong></p> </div>