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Abstract
Background and Objectives: The most utilized approach for the embolization of uterine arteries is the transfemoral path. However, the transradial approach (TRA) has been gaining popularity among cardiologic interventions in the last years but only few studies have shown its applicability in uterine myoma treatment. The objective of this paper is to assess the feasibility, safety and efficacy of TRA when compared with the transbrachial, transulnar or transfemoral approach (TFA) for uterine arteries embolization (UAE). Materials and methods: A systematic review of the literature that analyzes the TRA for UAE it was carried out, in order to assess its safety and effectiveness. It was systematically searched the literature (Google Scholar, PubMed/MEDLINE, Cochrane Library and Embase) using the words “uterine artery embolization”/“uterine embolization” and “transradial”/“radial”. All the relevant papers published until March 2020 were retrieved and analyzed. Results: Ten studies were considered eligible for this topic. TRA is a comparable method with TFA for uterine artery embolization. Conclusions: These studies allowed us to conclude that TRA is as safe and efficient as TFA. Its advantages include few complications, shorter hospitalization period, and rapid mobilization but a steeper learning curve has the disadvantage of a longer learning curve compared to TFA. Yet, these findings are built on few reports and more research is needed.
Highlights
Uterine artery embolization (UAE) represents a feasible therapeutic option introduced in clinical practice for females with symptomatic uterine leiomyoma who want to avoid the surgical intervention [1,2]
The transradial approach (TRA) has been gaining popularity over the last three decades, and nowadays represents a valuable technique for cardiovascular interventions compared to transfemoral approach (TFA), due to its lower risk of complications such as hemorrhage and vascular complications (3.7% TFA vs. 1.4% TRA, p < 0.0001) [11,12]
This paper represents a systematic review of the literature data in order to describe the use of TRA for uterine arteries embolization (UAE)
Summary
Uterine artery embolization (UAE) represents a feasible therapeutic option introduced in clinical practice for females with symptomatic uterine leiomyoma who want to avoid the surgical intervention [1,2]. The objective of this paper is to assess the feasibility, safety and efficacy of TRA when compared with the transbrachial, transulnar or transfemoral approach (TFA) for uterine arteries embolization (UAE). Materials and methods: A systematic review of the literature that analyzes the TRA for UAE it was carried out, in order to assess its safety and effectiveness. Its advantages include few complications, shorter hospitalization period, and rapid mobilization but a steeper learning curve has the disadvantage of a longer learning curve compared to TFA. These findings are built on few reports and more research is needed
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