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CardioVascular and Interventional Radiology

, Volume 42, Issue 3, pp 441–447 | Cite as

Prospective Study on Total Fluoroscopic Time in Patients Undergoing Uterine Artery Embolization: Comparing Transradial and Transfemoral Approaches

  • Chloe MortensenEmail author
  • John Chung
  • David Liu
  • Stephen Ho
  • Gerald Legiehn
  • Lindsay Machan
  • Darren Klass
Clinical Investigation Radiation Protection
  • 92 Downloads
Part of the following topical collections:
  1. Radiation Protection

Abstract

Purpose

Comparing total fluoroscopy time (FT) to perform uterine artery embolization (UAE) with transradial approach (TRA) versus transfemoral approach (TFA). Our hypothesis was that there would be no significant procedural time penalty incurred, despite the learning curve associated with adopting a new approach.

Materials and Methods

A cohort study was undertaken including 66 consecutive patients undergoing UAE with either TRA/TFA between January and September 2015. Total FT was recorded prospectively for each procedure, and data subsequently analyzed retrospectively. Each operator had at least 2 years of experience as an interventional radiologist having performed at least 200 TFA UAEs. All operators had recently incorporated TRA into their practice.

Results

A total of 39 TFA and 27 TRA cases were included in the study; mean age for TFA group was 44.4 years (± 4.9) and for TRA group was 45.1 years (± 4.9) (p = 0.59). Mean FTs were comparable between the two groups (p = 0.86) despite a learning curve associated with TRA: The mean total FT with TFA was 20.36 min (± 9.48) compared to TRA 20.12 min (± 7.67).

Conclusions

FTs for TRA UAE were comparable to TFA UAE, even though TRA had been recently adopted as a new approach. Despite the learning curve associated with developing a novel technique, operators should not expect the efficiency of their service to be significantly compromised. Introducing this safe and effective method of vascular access should therefore be considered.

Keywords

Uterine fibroid embolization Uterine artery embolization Transradial Fluoroscopic time 

List of Abbreviations

DAP

Dose area product

UAE

Uterine artery embolization

TRA

Transradial approach

TFA

Transfemoral approach

FT

Fluoroscopy time

IR

Interventional radiology

UA

Uterine artery

RA

Radial artery

AV

Arteriovenous

PCI

Percutaneous coronary interventions

Notes

Compliance with Ethical Standards

Conflict of interest

Dr. Mortensen, Dr. Ho and Dr. Legiehn declare that they have nothing to disclose. Dr. Chung reports personal fees from Merit Medical, personal fees from Boston Scientific, outside the submitted work. Dr. Liu reports other (independent director) from Merit Medical, grants from Seimens Medical, outside the submitted work. Dr. Machan reports other (medical advisory board) from Boston Scientific Corp, other (scientific advisory committee) from Cook Inc, outside the submitted work. Dr. Klass reports personal fees from Merit Medical, personal fees from Cook Medical, personal fees from Phillips Healthcare, personal fees from Liva Nova, grants from Biolife, outside the submitted work.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Brighton and Sussex University Hospitals NHS TrustBrightonUK
  2. 2.University of British ColumbiaVancouverCanada

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