桡动脉
医学
经导管动脉化疗栓塞
止血带
导管
外科
肝细胞癌
动脉
动脉导管
放射科
显著性差异
内科学
作者
Shunichi Shiozawa,Akira Tsuchiya,Shungo Endo,Kenichi Kumazawa,Kenji Ogawa
出处
期刊:PubMed
日期:2002-12-01
卷期号:99 (12): 1450-4
被引量:1
摘要
We devised a catheter designed for a transradial artery approach and carried out selective hepatic arteriography and transcatheter arterial chemoembolization (TACE) in 1999. To evaluate the clinical usefulness and safety of our new catheterization, we compared the results of transradial approach with those of the conventional transfemoral approach. In 164 (98.9%) of 166 patients in the radial group, hepatic arteries and the SMA were successfully visualized by an approach via the left radial artery. TACE via the radial artery was attempted in all 164 patients in whom the sheath was able to be inserted. When the amount of time required from puncture to sheath removal was compared, the two groups of patients showed no intergroup difference. Complications occurred in 4 patients (2.6%) in the radial group: there were 2 cases of temporary dull pain and 2 cases of numbness at the site of puncture, all of which improved after slight release of the tourniquet. In conclusion, the present study reported that TACE by our new transradial approach was found to have therapeutic efficacy comparable to that of the conventional transfemoral approach. This technique is only minimally invasive and is associated with few complications. We consider that the transradial artery catheterization may become a technique of first choice of TACE.
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