Transradial approach for transarterial chemoembolization of hepatocellular carcinoma in Egyptian patients: Initial study

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• 作者：Mohamed El-Gharib^a ; ^{mohgharibo@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Zainab Ahmed Ali-Eldin^b ; ¹ ; ^{drzainab2000@hotmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Transradial ; TACE ; HCC
• 刊名：The Egyptian Journal of Radiology and Nuclear Medicine
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：47
• 期：3
• 页码：833-837
• 全文大小：1011 K

文摘

Experience gained in transradial approach for cardiac catheterization resulted in many advantages including less bleeding complications, more patient comfort, and decreased costs with immediate ambulation. We described our initial experience with transradial approach for transarterial chemo-embolization (TACE) in Egyptian patients with HCC.

Materials and methods

In this prospective study, transradial TACE procedures were performed in 20 patients with HCC. Barbeau test was performed using a pulse oximeter to confirm the patency of the palmar arch. A 6F sheath was placed in the left radial artery using US guidance. A solution of 5000 U heparin, 10 mg verapamil, and 100 μg nitroglycerin was administered intra arterially. Technical success, early (30-day) complications, and patient acceptance were evaluated.

Results

Technical success was achieved in all cases (100%). No major complications were encountered in the first 30 days. Mild pain was observed in 1 case (5%) and managed by analgesics. No radial artery thrombosis was found with an asymptomatic small hematoma in one patient (5%) which resolved spontaneously. 5/20 patients (25%) had prior transfemoral artery TACE and all 5 patients (100%) preferred the radial approach.

Conclusion

Transradial approach for TACE is feasible, safe, well-accepted and preferred in patients with previous femoral approaches.