A randomized comparison of transradial and transfemoral access in uterine artery embolization
PURPOSEWe 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.METHODSThis randomized controlled trial was conducted from Feb...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2021-01-01
|
| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/a-randomized-comparison-of-transradial-and-transfe/54561
|
| _version_ | 1797691374199373824 |
|---|---|
| author | Evgeny Khayrutdinov Ivan Vorontsov Alexander Arablinskiy Denis Shcherbakov Dmitry Gromov |
| author_facet | Evgeny Khayrutdinov Ivan Vorontsov Alexander Arablinskiy Denis Shcherbakov Dmitry Gromov |
| author_sort | Evgeny Khayrutdinov |
| collection | DOAJ |
| description | PURPOSEWe 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.METHODSThis 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.RESULTSEmbolization 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.CONCLUSIONTransradial 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. |
| first_indexed | 2024-03-12T02:12:24Z |
| format | Article |
| id | doaj.art-a9306b9c5d574e7ea3ae2224462081e1 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:12:24Z |
| publishDate | 2021-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-a9306b9c5d574e7ea3ae2224462081e12023-09-06T12:25:34ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122021-01-01271596410.5152/dir.2020.1957413049054A randomized comparison of transradial and transfemoral access in uterine artery embolizationEvgeny Khayrutdinov0Ivan Vorontsov1Alexander Arablinskiy2Denis Shcherbakov3Dmitry Gromov4 Department of Interventional Cardiology and Radiology, Botkin Hospital, Moscow, Russia Department of Interventional Cardiology and Radiology, Emergency Hospital, Omsk, Russia Department of Interventional Cardiology and Radiology, Botkin Hospital, Moscow, Russia Omsk State Medical University, Omsk, Russia Department of Roentgen-Endovascular Methods of Diagnosis and Treatment PHDPO, PHGBOU VO Pirogov RNRMU, Moscow, Russia PURPOSEWe 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.METHODSThis 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.RESULTSEmbolization 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.CONCLUSIONTransradial 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. http://www.dirjournal.org/archives/archive-detail/article-preview/a-randomized-comparison-of-transradial-and-transfe/54561 |
| spellingShingle | Evgeny Khayrutdinov Ivan Vorontsov Alexander Arablinskiy Denis Shcherbakov Dmitry Gromov A randomized comparison of transradial and transfemoral access in uterine artery embolization Diagnostic and Interventional Radiology |
| title | A randomized comparison of transradial and transfemoral access in uterine artery embolization |
| title_full | A randomized comparison of transradial and transfemoral access in uterine artery embolization |
| title_fullStr | A randomized comparison of transradial and transfemoral access in uterine artery embolization |
| title_full_unstemmed | A randomized comparison of transradial and transfemoral access in uterine artery embolization |
| title_short | A randomized comparison of transradial and transfemoral access in uterine artery embolization |
| title_sort | randomized comparison of transradial and transfemoral access in uterine artery embolization |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/a-randomized-comparison-of-transradial-and-transfe/54561
|
| work_keys_str_mv | AT evgenykhayrutdinov arandomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT ivanvorontsov arandomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT alexanderarablinskiy arandomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT denisshcherbakov arandomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT dmitrygromov arandomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT evgenykhayrutdinov randomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT ivanvorontsov randomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT alexanderarablinskiy randomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT denisshcherbakov randomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization AT dmitrygromov randomizedcomparisonoftransradialandtransfemoralaccessinuterinearteryembolization |