AI Article Synopsis
- The standard method for treating uterine fibroids or adenomas involves using the femoral artery, which can lower quality of life and heighten the risk of complications like deep vein thrombosis.
- A study at The First Hospital of Jilin University evaluated the feasibility and safety of using the distal radial artery for this procedure from January 2021 to November 2023, focusing on puncture success rates and complications.
- Results showed a high success rate of 93.75% for the distal radial approach with no complications reported, suggesting that this method is a safe and effective alternative for uterine artery embolization.
Article Abstract
Background: The standard approach for transarterial embolization of uterine fibroids or adenomas is via the femoral artery, but this approach limits the patient's quality of life and increases the risk of deep vein thrombosis in the lower extremities. We applied the distal radial approach technique for the treatment of uterine artery embolization, and aimed to explore the feasibility and safety of uterine artery chemoembolization through the distal radial approach.
Methods: We conducted a retrospective study at The First Hospital of Jilin University from January 1, 2021 to November 30, 2023. The main inclusion criteria were: (I) uterine fibroids and adenomyosis were confirmed by preoperative imaging examination; (II) able to accurately palpate the distal radial artery pulse, and the Allen test is negative. Exclusion criteria: patients with distal radial pulses that cannot be palpated, or who are palpable but have radial arteriotomy dialysis, have a tortuous angle on preoperative radial artery ultrasound, which is not conducive to guidewire catheter passage. The primary endpoint of this study was the success rate of distal radial artery puncture. The secondary endpoints included complications and the duration of the puncture.
Results: Sixteen patients were enrolled in this study, of which 8 (50%) had uterine fibroids, 5 (31.25%) had uterine adenomas, and 3 (18.75%) had both. The puncture success rate was 93.75% (15/16) and one patient who failed to puncture the distal radial artery was changed to the radial artery approach. The mean time of puncture was 21±8.54 minutes. There were no complications, including bleeding, hematoma, arterial dissection, pseudoaneurysm formation, or distal radial artery occlusion, observed.
Conclusions: Uterine artery embolization by the distal radial artery approach is safe and feasible, and should be widely promoted in uterine artery embolization.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150196 | PMC |
| http://dx.doi.org/10.21037/gs-24-118 | DOI Listing |
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