Transradial versus transfemoral approach for TACE: a retrospective study

作者全名:"You, Ke; Guo, Tao; Sun, Da; Song, Hao; Liu, Zuojin"

作者地址:"[You, Ke; Liu, Zuojin] Chongqing Med Univ, Affiliated Hosp 2, Dept Hepatobiliary Surg, Linjiang Rd 74, Chongqing 400010, Peoples R China; [Guo, Tao] Guangxi Med Univ, Liuzhou Peoples Hosp, Liuzhou Key Lab Infect Dis & Immunol, Guangxi Hlth Commiss,Key Lab Clin Biotechnol, Liuzhou 545006, Peoples R China; [Guo, Tao] Weifang Med Univ, Sch Basic Med Sci, Dept Pathophysiol, Weifang 261053, Peoples R China; [Sun, Da; Song, Hao] Naval Mil Med Univ, Affiliated Hosp 3, Dept Organ Transplantat, North Moyu Rd 700, Shanghai 201805, Peoples R China"

通信作者:"Liu, ZJ (通讯作者),Chongqing Med Univ, Affiliated Hosp 2, Dept Hepatobiliary Surg, Linjiang Rd 74, Chongqing 400010, Peoples R China.; Song, H (通讯作者),Naval Mil Med Univ, Affiliated Hosp 3, Dept Organ Transplantat, North Moyu Rd 700, Shanghai 201805, Peoples R China."

来源:BMC GASTROENTEROLOGY

ESI学科分类:CLINICAL MEDICINE

WOS号:WOS:000912400100001

JCR分区:Q2

影响因子:2.5

年份:2023

卷号:23

期号:1

开始页: 

结束页: 

文献类型:Article

关键词:Transradial access; Transfemoral access; TACE

摘要:"Objective Transcatheter arterial chemoembolization (TACE) has been widely applied in the treatment of hepatocellular carcinoma (HCC). Our study aimed to investigate the feasibility and efficacy of transradial access as an alternative to transfemoral access for TACE.Methods Patients undergoing TACE were divided into the radial artery (RA) route group or the femoral artery (FA) route group according to the operation approach, namely, transradial or transfemoral access. We retrospectively analysed the clinical characteristics, technical outcomes, clinical efficacy and incidence of adverse events to compare the two technologies for intervention for HCC.Results Transradial access was found to achieve superior technical outcomes and clinical efficacy, as the patients in the RA group had a lower rate of hepatic arterial spasm, a higher partial response rate and a lower progression rate than the patients in the FA group according to the mRECIST evaluations. In contrast, the liver function indices and VAS (visual analogue scale) pain scores were consistent across the two groups. Moreover, patients in the RA group had a shorter length of stay than those in the FA group, despite similar hospitalization expenses. The total adverse events were significantly reduced by transradial access for TACE (72.5% vs. 84.1%, P = 0.027).Conclusion Our study suggested that transradial access is an effective and feasible alternative to transfemoral access for TACE. Large-scale prospective randomized controlled studies are expected."

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