Clinical study of TACE for hepatocellular carcinoma by ultrasound-guided transdistal radial artery approach

doi:10.3877/cma.j.issn.2095-5782.2023.03.010

Abstract

Abstract:

Objective

To evaluate the safety and feasibility of TACE for hepatocellular carcinoma, guided by ultrasound via the transdistal radial artery access (dTRA).

Methods

The clinical data of64 hepatocellular carcinoma patients underwent ultrasound-guided TACE through the left dTRA in our hospital from January 2021 to December 2021 were retrospectively analyzed and the dTRA puncture success rate, puncture time, TACE operation success rate, TACE operation time, postoperative puncture point compression time, and postoperative puncture-related complications were collected.

Results

The 64 patients were treated with TACE by dTRA for 151 cases. Of these, there were 64 single intervention cases (42%, 64/151) and 87 multiple intervention cases (58%, 87/151). The preoperative ultrasound measurement of dTRA was (2.32 ± 0.42) (1.82~3.22) mm. There were 143 successful left dTRA puncture cases (94%, 143/151). The puncture time was (3.1 ± 1.9) mins. The surgical success rate is 100% (143/143). The intubation time was (5.7 ± 2.0) mins. The operative time was (136.5 ± 54.3) mins. Five cases failed to puncture dTRA due to difficulties in guidewire introduction, with a postoperative complication rate of 4.9% (7/143), including2 puncture point bleeding (1.4%, 2/143), 4 local hematoma or subcutaneous ecchymosis (2.8%, 4/143), and 1 asymptomatic RAO (0.7%, 1/143). However, three months after surgery, the patient's artery had recovered patency.

Conclusions

TACE for hepatocellular carcinoma by ultrasound-guided dTRA is feasible and safe.

Key words: Distal radial artery, Ultrasound, Hepatocellular carcinoma, TACE, Safety

Xueqing Huang, Nan Wei, Tianpeng Jiang, Tianzhi An, Min Xu, Shi Zhou. Clinical study of TACE for hepatocellular carcinoma by ultrasound-guided transdistal radial artery approach[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(03): 251-256.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2023.03.010

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References 20

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