Diagnostic and Interventional Radiology
Interventional Radiology - Original Article

A randomized comparison of transradial and transfemoral access in uterine artery embolization

1.

Department of Interventional Cardiology and Radiology, Botkin Hospital, Moscow, Russia

2.

Department of Interventional Cardiology and Radiology, Emergency Hospital, Omsk, Russia

3.

Department of Roentgen-Endovascular Methods of Diagnosis and Treatment PHDPO, PHGBOU VO Pirogov RNRMU, Moscow, Russia

4.

Omsk State Medical University, Omsk, Russia

5.

Department of Roentgen-Endovascular Diagnosis and Treatment, Inozemtsev Hospital, Moscow, Russia

Diagn Interv Radiol 2021; 27: 59-64
DOI: 10.5152/dir.2020.19574
Read: 556 Downloads: 240 Published: 10 April 2020

PURPOSE

We aimed to compare duration of uterine artery embolization, radiation exposure, safety and quality of life associated with the procedure in patients undergoing uterine artery embolization using transradial and transfemoral access.

 

METHODS

This randomized controlled trial was conducted from February 2013 to March 2017 in three hospitals. Transradial access was used in 78 patients and transfemoral access in 75 patients. Clinical characteristics of the patients were comparable between the two groups. Patients were evaluated for the success and duration of the procedure, radiation exposure, major and minor complications. Quality of life associated with the procedure was assessed among patients with uterine fibroids.

 

RESULTS

Embolization procedures were successfully performed in all patients in both groups. The duration of uterine artery embolization (32.27±7.99 vs. 39.24±9.72 minutes, P < 0.001), uterine artery catheterization time (12.36±5.73 vs. 19.08±6.06 minutes, P < 0.001) and radiation exposure (0.28±0.14 vs. 0.5±0.21 mZv, P < 0.001) were significantly lower in the transradial access group. The rate of major (0% vs. 2.7%, P = 0.37) and minor (11.53% vs. 17.3%, P = 0.42) complications was comparable between the two groups. Transradial access was associated with a statistically significant improvement in the quality of life associated with the procedure among patients with uterine fibroids.

 

CONCLUSION

Transradial access in uterine artery embolization has the same efficacy and safety compared to transfemoral access. This access reduces radiation exposure and duration of the procedure.

 

You may cite this article as: Khayrutdinov E, Vorontsov A, Arablinskiy A, Shcherbakov D, Gromov D. A randomized comparison of transradial and transfemoral access in uterine artery embolization. Diagn Interv Radiol 2021; 27: 59–64.

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