The use of distal transracial access for transcatheter arterial chemoembolization

doi:10.3877/cma.j.issn.2095-5782.2022.03.004

Abstract

Abstract:

Objective

To study the feasibility and safety of diatal transradial access (dTRA) for transcatheter arterial chemoembolization (TACE).

Methods

This retrospective study enrolled 15 patientswho received TACE through distal transradial access from November 2020 to July 2021. The rate of successful puncture and successful introduction of sheath, access site-related hemorrhage or hematoma, dissection of aorta and radial artery occlusion (RAO) was evaluated.

Results

All of the 15 patients were successfully punctured into the left diatal radial artery. Only one patient had to transform to transfemoral access (TFA) TACE due to vasospasm. One patient was found bleeding at the puncture site after surgery. No dissection of artery or RAO was observed.

Conclusions

Our preliminary experience with dTRA for TACE demonstrates excellent feasibility and safety. However, further randomized controlled trial is still needed to verify our preliminary experience.

Key words: Distal transracial access, TACE, Transfemoral access, Transracial access

Jianwu Ren, Sheng Liu, Haibin Shi, Wei Yang, Wei Tian, Weizhong Zhou. The use of distal transracial access for transcatheter arterial chemoembolization[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(03): 241-244.

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References 15

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病例编号	年龄（岁）	性别	诊断	远桡动脉穿刺置管成功	TACE栓塞成功	并发症	患者舒适度评分（α）
1	42	男	肝细胞癌	是	是	术后穿刺点渗血	3
2	51	男	肝细胞癌	否，改右侧股动脉穿刺	是	桡动脉痉挛	9
3	48	男	胰腺癌肝转移	是	是	无	1
4	67	男	肝细胞癌	是	是	无	0
5	56	男	肝细胞癌	是	是	无	2
6	64	男	肝细胞癌	是	是	无	2
7	50	男	肝细胞癌	是	是	无	0
8	42	男	肝细胞癌	是	是	无	1
9	57	男	肝细胞癌	是	是	无	1
10	46	女	肝细胞癌	是	是	无	0
11	64	男	肝细胞癌	是	是	是	1
12	58	男	肝细胞癌	是	是	是	0
13	51	女	肝细胞癌	是	是	无	1
14	54	男	肝细胞癌	是	是	无	0
15	58	男	肝细胞癌	是	是	无	0

病例编号	年龄（岁）	性别	诊断	远桡动脉穿刺置管成功	TACE栓塞成功	并发症	患者舒适度评分（α）
1	42	男	肝细胞癌	是	是	术后穿刺点渗血	3
2	51	男	肝细胞癌	否，改右侧股动脉穿刺	是	桡动脉痉挛	9
3	48	男	胰腺癌肝转移	是	是	无	1
4	67	男	肝细胞癌	是	是	无	0
5	56	男	肝细胞癌	是	是	无	2
6	64	男	肝细胞癌	是	是	无	2
7	50	男	肝细胞癌	是	是	无	0
8	42	男	肝细胞癌	是	是	无	1
9	57	男	肝细胞癌	是	是	无	1
10	46	女	肝细胞癌	是	是	无	0
11	64	男	肝细胞癌	是	是	是	1
12	58	男	肝细胞癌	是	是	是	0
13	51	女	肝细胞癌	是	是	无	1
14	54	男	肝细胞癌	是	是	无	0
15	58	男	肝细胞癌	是	是	无	0

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