A randomized comparison of transradial and transfemoral access in uterine artery embolization.

IF 1.7 4区医学 Q2 Medicine

Diagnostic and Interventional Radiology Pub Date : 2021-01-01 DOI:10.5152/dir.2020.19574

Evgeny Khayrutdinov, Ivan Vorontsov, Alexander Arablinskiy, Denis Shcherbakov, Dmitry Gromov

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引用次数: 7

Abstract

Purpose: We aimed to compare duration of uterine artery embolization, radiation exposure, safety and quality of life associated with the procedure in patients undergoing uterine artery embolization using transradial and transfemoral access.

Methods: This randomized controlled trial was conducted from February 2013 to March 2017 in three hospitals. Transradial access was used in 78 patients and transfemoral access in 75 patients. Clinical characteristics of the patients were comparable between the two groups. Patients were evaluated for the success and duration of the procedure, radiation exposure, major and minor complications. Quality of life associated with the procedure was assessed among patients with uterine fibroids.

Results: Embolization procedures were successfully performed in all patients in both groups. The duration of uterine artery embolization (32.27±7.99 vs. 39.24±9.72 minutes, P < 0.001), uterine artery catheterization time (12.36±5.73 vs. 19.08±6.06 minutes, P < 0.001) and radiation exposure (0.28±0.14 vs. 0.5±0.21 mZv, P < 0.001) were significantly lower in the transradial access group. The rate of major (0% vs. 2.7%, P = 0.37) and minor (11.53% vs. 17.3%, P = 0.42) complications was comparable between the two groups. Transradial access was associated with a statistically significant improvement in the quality of life associated with the procedure among patients with uterine fibroids.

Conclusion: Transradial access in uterine artery embolization has the same efficacy and safety compared to transfemoral access. This access reduces radiation exposure and duration of the procedure.

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经桡动脉和经股动脉入路在子宫动脉栓塞中的随机比较。

目的:比较经桡动脉和经股动脉入路行子宫动脉栓塞术患者的子宫动脉栓塞时间、辐射暴露、安全性和生活质量。方法:本随机对照试验于2013年2月至2017年3月在三家医院进行。经桡骨通路78例，经股骨通路75例。两组患者的临床特征具有可比性。评估患者手术的成功和持续时间，辐射暴露，主要和次要并发症。评估子宫肌瘤患者与手术相关的生活质量。结果:两组患者均成功栓塞。经放射状通路组子宫动脉栓塞时间(32.27±7.99 vs 39.24±9.72 min, P < 0.001)、子宫动脉置管时间(12.36±5.73 vs 19.08±6.06 min, P < 0.001)、辐射暴露(0.28±0.14 vs 0.5±0.21 mZv, P < 0.001)均显著低于经放射状通路组。两组间严重并发症发生率(0% vs. 2.7%， P = 0.37)和轻微并发症发生率(11.53% vs. 17.3%， P = 0.42)具有可比性。经放射状通路与子宫肌瘤患者手术相关的生活质量的统计学显著改善相关。结论:经桡动脉入路与经股动脉入路具有相同的疗效和安全性。这种通道减少了辐射暴露和手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnostic and Interventional Radiology 医学-核医学

CiteScore

3.50

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.