Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma
Abstract Background and Aim Hepatic angiography procedures such as transarterial chemoembolization (TACE) are essential procedures for managing patients with hepatocellular carcinoma (HCC), and are usually performed with femoral access. However, femoral access causes patient discomfort and may be as...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-09-01
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| Series: | JGH Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgh3.12628 |
| _version_ | 1819063461296996352 |
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| author | Hidenori Toyoda Satoshi Yasuda Shohei Shiota Shohei Chatani Ryota Tsukii Hirofumi Kitagawa Tomohisa Fukushima Shohei Urasaki Takashi Kumada |
| author_facet | Hidenori Toyoda Satoshi Yasuda Shohei Shiota Shohei Chatani Ryota Tsukii Hirofumi Kitagawa Tomohisa Fukushima Shohei Urasaki Takashi Kumada |
| author_sort | Hidenori Toyoda |
| collection | DOAJ |
| description | Abstract Background and Aim Hepatic angiography procedures such as transarterial chemoembolization (TACE) are essential procedures for managing patients with hepatocellular carcinoma (HCC), and are usually performed with femoral access. However, femoral access causes patient discomfort and may be associated with the risk of hematoma or pseudoaneurysm at puncture site. We evaluated the safety, feasibility, and patient comfort of hepatic angiography procedures performed with radial access. Methods In this single‐institution, retrospective, time‐frame study, a total of 206 patients who underwent hepatic angiography procedures with radial access, which were first used on October 2017 at our institution, were compared with 240 patients who underwent the same procedures with femoral access before this period. Several measures were assessed, including procedure time and safety. In addition, a questionnaire was used to compare the access types regarding procedure‐associated discomfort. Results Hepatic angiography procedures performed with radial access, including TACE, were completed in all patients without complications. The procedure time was comparable between radial access and femoral access. Most patients preferred radial to femoral access. Patients taking anticoagulants were able to complete the procedures without discontinuing these drugs. Conclusions Hepatic angiography procedures with radial access resulted in less discomfort than those with femoral access, and the two approaches showed similar feasibility and safety. Radial access can be introduced as a routine technique for hepatic angiography procedures. |
| first_indexed | 2024-12-21T15:15:02Z |
| format | Article |
| id | doaj.art-03361f0bc6554fc4bf67bd7a0e69a74a |
| institution | Directory Open Access Journal |
| issn | 2397-9070 |
| language | English |
| last_indexed | 2024-12-21T15:15:02Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj.art-03361f0bc6554fc4bf67bd7a0e69a74a2022-12-21T18:59:10ZengWileyJGH Open2397-90702021-09-01591041104610.1002/jgh3.12628Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinomaHidenori Toyoda0Satoshi Yasuda1Shohei Shiota2Shohei Chatani3Ryota Tsukii4Hirofumi Kitagawa5Tomohisa Fukushima6Shohei Urasaki7Takashi Kumada8Department of Gastroenterology Ogaki Municipal Hospital Ogaki JapanDepartment of Gastroenterology Ogaki Municipal Hospital Ogaki JapanDepartment of Gastroenterology Ogaki Municipal Hospital Ogaki JapanDepartment of Radiological Diagnosis and Interventional Radiology Aichi Cancer Center Hospital Nagoya JapanDepartment of Radiological Diagnosis and Interventional Radiology Aichi Cancer Center Hospital Nagoya JapanDepartment of Medical Technology Ogaki Municipal Hospital Ogaki JapanDepartment of Medical Technology Ogaki Municipal Hospital Ogaki JapanDepartment of Medical Technology Ogaki Municipal Hospital Ogaki JapanDepartment of Nursing Gifu Kyoritsu University Ogaki JapanAbstract Background and Aim Hepatic angiography procedures such as transarterial chemoembolization (TACE) are essential procedures for managing patients with hepatocellular carcinoma (HCC), and are usually performed with femoral access. However, femoral access causes patient discomfort and may be associated with the risk of hematoma or pseudoaneurysm at puncture site. We evaluated the safety, feasibility, and patient comfort of hepatic angiography procedures performed with radial access. Methods In this single‐institution, retrospective, time‐frame study, a total of 206 patients who underwent hepatic angiography procedures with radial access, which were first used on October 2017 at our institution, were compared with 240 patients who underwent the same procedures with femoral access before this period. Several measures were assessed, including procedure time and safety. In addition, a questionnaire was used to compare the access types regarding procedure‐associated discomfort. Results Hepatic angiography procedures performed with radial access, including TACE, were completed in all patients without complications. The procedure time was comparable between radial access and femoral access. Most patients preferred radial to femoral access. Patients taking anticoagulants were able to complete the procedures without discontinuing these drugs. Conclusions Hepatic angiography procedures with radial access resulted in less discomfort than those with femoral access, and the two approaches showed similar feasibility and safety. Radial access can be introduced as a routine technique for hepatic angiography procedures.https://doi.org/10.1002/jgh3.12628comfortfeasibilityHCChepatic angiographyradial accesssafety |
| spellingShingle | Hidenori Toyoda Satoshi Yasuda Shohei Shiota Shohei Chatani Ryota Tsukii Hirofumi Kitagawa Tomohisa Fukushima Shohei Urasaki Takashi Kumada Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma JGH Open comfort feasibility HCC hepatic angiography radial access safety |
| title | Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| title_full | Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| title_fullStr | Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| title_full_unstemmed | Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| title_short | Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| title_sort | safety feasibility and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma |
| topic | comfort feasibility HCC hepatic angiography radial access safety |
| url | https://doi.org/10.1002/jgh3.12628 |
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