Feasibility analysis of bilateral uterine artery embolization via distal radial artery access
10.3969/j.issn.1002-1671.2025.09.028
- VernacularTitle:经远桡动脉入路行双侧子宫动脉栓塞术的可行性分析
- Author:
Faliang DAI
1
;
Chunhai LI
;
Jun HOU
;
Tianshu LIU
;
Yongqi JI
;
Fangfang ZHANG
;
Yan JIAO
;
Guoning TIAN
;
Yixing LIU
Author Information
1. 曹县人民医院综合介入科,山东 菏泽 274400
- Publication Type:Journal Article
- Keywords:
distal radial artery access;
femoral artery access;
uterine artery embolization;
uterine fibroids
- From:
Journal of Practical Radiology
2025;41(9):1549-1552
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of bilateral uterine artery embolization(UAE)via distal radial artery access.Methods Thirty patients who underwent bilateral UAE were selected.They were divided into distal radial artery group(14 cases)and femoral artery group(16 cases).The clinical signs,puncture times,operation time,compression hemostasis time,discomfort scores,microcatheter non-use rates,and complication rates of the two groups were analyzed,the feasibility and safety of bilateral UAE via distal radial artery access were evaluated.Results The mean number of puncture times in the distal radial artery group was 1.6 times that of the femoral artery group,and the puncture pain score was 1.5 times that of the femoral artery group(P＜0.05).The operation time and puncture point compression hemostasis time in the distal radial artery group were shorter than those in the femoral artery group,and the discomfort score of compression hemostasis in the distal radial artery group was lower than that in the femoral artery group(P＜0.01).The proportions who did not use microcatheters in the two groups accounted for 28.6％and 6.3％,respectively,the difference was not statistically significant(P＞0.05).Four patients with poor access vessels were found in the distal radial artery group(P＜0.05).Conclusion Bilateral UAE via distal radial artery access is safe and feasible.
