Wu Tao, Sun Ruimin, Huang Yinuo, Wang Zhixue, He Jue, Shen Songhe, Yin Xiaoxiang, Zhu Zhixiang, Yang Wenyi, Zhao Zhijun
Department of Interventional Radiology, The First Affiliated Hospital of Henan University, Kaifeng, Henan, PR China.
Department of Operation Room, The First Affiliated Hospital of Henan University, Kaifeng, Henan, PR China.
Acta Radiol. 2016 Oct;57(10):1201-4. doi: 10.1177/0284185115622076. Epub 2015 Dec 14.
Partial splenic artery embolization (PSE) is an effective treatment modality for patients with hypersplenism. It is less invasive and has a quicker recovery compared with surgical procedures. PSE is usually performed using a femoral artery approach that requires bedrest for a few hours, which is rarely the case for transradial PSE.
To compare the transradial and transfemoral approaches for embolization of spleen in patients with hypersplenism.
In all, 84 patients with hypersplenism who required PSE were recruited. They were randomly divided into two groups on the basis of the procedure followed: the transradial approach (R-PSE, n = 39) or transfemoral approach (F-PSE, n = 45). Technical success, puncture rate, total procedure time, X-ray exposure time, length of stay in hospital (LOS), and complications of the two groups were recorded.
The procedure time, X-ray exposure time, and LOS were found to be lower in the R-PSE group than in the F-PSE. However, this difference was not statistically significant.
The transradial artery approach for PSE in patients with hypersplenism is feasible with no major complications as compared to the femoral approach.
部分脾动脉栓塞术（PSE）是治疗脾功能亢进患者的一种有效治疗方式。与外科手术相比，它的侵入性较小，恢复更快。PSE通常采用股动脉入路进行，需要卧床休息几个小时，而经桡动脉PSE则很少出现这种情况。
比较经桡动脉和经股动脉入路对脾功能亢进患者进行脾脏栓塞的效果。
共招募了84例需要进行PSE的脾功能亢进患者。根据采用的手术方式将他们随机分为两组：经桡动脉入路组（R-PSE，n = 39）和经股动脉入路组（F-PSE，n = 45）。记录两组的技术成功率、穿刺率、总手术时间、X线暴露时间、住院时间（LOS）和并发症情况。
发现R-PSE组的手术时间、X线暴露时间和住院时间均低于F-PSE组。然而，这种差异无统计学意义。
与股动脉入路相比，经桡动脉入路对脾功能亢进患者进行PSE是可行的，且无重大并发症。
