Left transradial approach versus right transradial approach for TACE treatment:a comparative study
10.3969/j.issn.1008-794X.2023.12.013
- VernacularTitle:左侧桡动脉和右侧桡动脉入路TACE治疗的对比分析
- Author:
Yibo WANG
1
;
Guangsen FENG
Author Information
1. 450002 河南郑州 河南省中医院
- Keywords:
hepatocellular carcinoma;
transart erial chemoembolization;
transradial approach
- From:
Journal of Interventional Radiology
2023;32(12):1226-1229
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of left transradial approach(TRA)with right TRA in performing transcatheter arterial chemoembolization(TACE)for the treatment of hepatocellular carcinoma(HCC).Methods The clinical data of a total of 174 HCC patients,who received conventional TACE via radial access at Henan Provincial Hospital of Traditional Chinese Medicine of China between June 2021 and May 2022,were retrospectively analyzed.Among the 174 patients,104 patients were ≤65 years old,of whom 52 received TACE by using left TRA and 54 received TACE by using right TRA;68 patients were＞65 years old,of whom 32 received TACE by using left TRA and 36 received TACE by using right TRA.The complications,fluoroscopy time spent for catheterization into celiac trunk,surgical total fluoroscopy time and radiation dose were compared between the left TRA group and right TRA group.Results In the patients ≤ 65 years old,there were no statistically significant differences in the fluoroscopy time spent for catheterization into celiac trunk,the surgical total fluoroscopy time,the radiation dose and the incidence of complications between the left TRA group and the right TRA group.In the patients＞65 years old,no statistically significant difference in the incidence of complications existed between the left TRA group and the right TRA group(P＞0.05),while the fluoroscopy time spent for catheterization into celiac trunk((60.3±28.3)s vs(86.3±45.2)s,P=0.003),the surgical total fluoroscopy time((11.2±4.5)min vs(14.3±6.3)min,P=0.030)and the radiation dose((452.2±121.7)mGy vs(563.8±181.5)mGy,P=0.022)in the left TRA group were remarkably lower than those in the right TRA group,the differences were statistically significant.Conclusion In conventional TACE,there is no obvious difference in the incidence of puncture point-related complications between using left TRA and using right TRA;but in the patients ≤ 65 years old,the use of left TRA can significantly reduce the surgical total fluoroscopy time and radiation dose.(J Intervent Radiol,2023,32:1226-1229)
