Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.

<h4>Background</h4>There are few reports of renal artery embolization (RAE) via transradial access (TRA) for renal hemorrhage, and none have compared outcomes of RAE via TRA and transfemoral access (TFA). The objective was to compare technical and clinical outcomes in patients undergoing...

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Autores principales:	Chuanwu Cao, So-Yeon Kim, Gun Ha Kim, Ji Hoon Shin, In Chul Nam, Meshari Alali, Hee Ho Chu, Heung-Kyu Ko
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5e79d7d50c7f46118af8d6cadd16435d
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spelling	oai:doaj.org-article:5e79d7d50c7f46118af8d6cadd16435d2021-12-02T20:17:41ZComparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.1932-620310.1371/journal.pone.0256130https://doaj.org/article/5e79d7d50c7f46118af8d6cadd16435d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256130https://doaj.org/toc/1932-6203<h4>Background</h4>There are few reports of renal artery embolization (RAE) via transradial access (TRA) for renal hemorrhage, and none have compared outcomes of RAE via TRA and transfemoral access (TFA). The objective was to compare technical and clinical outcomes in patients undergoing RAE via TRA or TFA for iatrogenic renal hemorrhage.<h4>Materials and methods</h4>This study included 45 RAE procedures (16 TRA and 29 TFA) for iatrogenic renal hemorrhage in 43 patients performed at a tertiary referral center between October 2018 and December 2020. Information regarding underlying diseases, coagulation status, angiographic and embolization procedure details, technical and clinical successes, and complications were retrospectively evaluated.<h4>Results</h4>There were no differences in demographics, underlying diseases, updated Charlson comorbidity scores, angiographic findings, and volume of contrast material between the TRA and TFA groups. By contrast, prothrombin time and international normalized ratio were significantly lower in the TRA than in the TFA group. Embolic materials differed significantly in the two groups. Procedure duration, fluoroscopy time, digital subtraction angiography number, and dose area product were slightly lower in the TRA than in the TFA group, but the differences were not statistically significant. Technical and clinical success rates in the TRA and TFA groups were 100% and 96.6%, and 100% and 96.6%, respectively. No patient in either group experienced procedure-related complications during a 4 week follow-up period.<h4>Conclusion</h4>RAE via TRA in the management of iatrogenic renal hemorrhage was safe and feasible, with similar procedure duration and radiation exposure to RAE via TFA. TRA may be an acceptable alternative to TFA in these patients.Chuanwu CaoSo-Yeon KimGun Ha KimJi Hoon ShinIn Chul NamMeshari AlaliHee Ho ChuHeung-Kyu KoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256130 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chuanwu Cao So-Yeon Kim Gun Ha Kim Ji Hoon Shin In Chul Nam Meshari Alali Hee Ho Chu Heung-Kyu Ko Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
description	<h4>Background</h4>There are few reports of renal artery embolization (RAE) via transradial access (TRA) for renal hemorrhage, and none have compared outcomes of RAE via TRA and transfemoral access (TFA). The objective was to compare technical and clinical outcomes in patients undergoing RAE via TRA or TFA for iatrogenic renal hemorrhage.<h4>Materials and methods</h4>This study included 45 RAE procedures (16 TRA and 29 TFA) for iatrogenic renal hemorrhage in 43 patients performed at a tertiary referral center between October 2018 and December 2020. Information regarding underlying diseases, coagulation status, angiographic and embolization procedure details, technical and clinical successes, and complications were retrospectively evaluated.<h4>Results</h4>There were no differences in demographics, underlying diseases, updated Charlson comorbidity scores, angiographic findings, and volume of contrast material between the TRA and TFA groups. By contrast, prothrombin time and international normalized ratio were significantly lower in the TRA than in the TFA group. Embolic materials differed significantly in the two groups. Procedure duration, fluoroscopy time, digital subtraction angiography number, and dose area product were slightly lower in the TRA than in the TFA group, but the differences were not statistically significant. Technical and clinical success rates in the TRA and TFA groups were 100% and 96.6%, and 100% and 96.6%, respectively. No patient in either group experienced procedure-related complications during a 4 week follow-up period.<h4>Conclusion</h4>RAE via TRA in the management of iatrogenic renal hemorrhage was safe and feasible, with similar procedure duration and radiation exposure to RAE via TFA. TRA may be an acceptable alternative to TFA in these patients.
format	article
author	Chuanwu Cao So-Yeon Kim Gun Ha Kim Ji Hoon Shin In Chul Nam Meshari Alali Hee Ho Chu Heung-Kyu Ko
author_facet	Chuanwu Cao So-Yeon Kim Gun Ha Kim Ji Hoon Shin In Chul Nam Meshari Alali Hee Ho Chu Heung-Kyu Ko
author_sort	Chuanwu Cao
title	Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
title_short	Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
title_full	Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
title_fullStr	Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
title_full_unstemmed	Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
title_sort	comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5e79d7d50c7f46118af8d6cadd16435d
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Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage.

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