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1/2022
vol. 87 Interventional radiology
abstract:
Original paper
Transradial versus transfemoral arterial access in the uterine artery embolization of fibroids
Abheek Ghosh
1
,
Tanvir Agnihotri
2
,
Vikash Gupta
1
,
Palak Sitwala
1
,
Monica Stanley
1
,
Stephen Cai
1
,
Nabeel Mohsin Akhter
1
1.
Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, Maryland, USA
2.
Division of Interventional Radiology, Department of Radiology, NYU School of Medicine, New York City, New York, USA
© Pol J Radiol 2022; 87: e672-e677
Online publish date: 2022/12/21
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Introduction
Transradial arterial access has become more popular in body interventional procedures but has not been ubiquitously adapted. This retrospective study assesses the efficacy of this approach in uterine artery embolization. Aim of the study was to compare transradial to transfemoral arterial access in patients undergoing uterine artery embolization for the treatment of fibroids. Material and methods A total of 172 patients underwent uterine artery embolization procedures at our institute from October 2014 to June 2020. Of these, 76 patients had their operations performed via transfemoral access while 96 underwent transradial access. The peak radiation dose, fluoroscopy time, procedure time, total contrast volume, and equipment cost for each procedure were all reviewed to evaluate for statistical differences between the 2 groups. Results All cases were technically successful without major complications. The average peak skin dose was 2281 mGy, with no statistical difference between the transradial or transfemoral cohorts. Average fluoroscopy time was 25 minutes, also with no statistical difference between the subsets. Mean procedure time was 100 min, and mean contrast volume usage was 138 mL with no statistical differences. Similarly, the average equipment cost was $2204, with no significant differences found between transradial and transfemoral access. Conclusions With respect to many pertinent radiation parameters, transradial access was evaluated as being an equally efficacious alternative to transfemoral access in uterine artery embolization procedures. The results of this study suggest that transradial access should be considered more often, whenever viable, as an option in the uterine artery embolization treatment of fibroids. keywords:
transradial arterial access, transfemoral arterial access, uterine artery embolization, uterine leiomyomas |