Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Gr. T. Popa", 700015 Iasi, Romania.
Obstetrics and Gynecology Clinical Hospital "Cuza Voda", 700038 Iasi, Romania.
Medicina (Kaunas). 2021 Jan 20;57(2):83. doi: 10.3390/medicina57020083.
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). 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. Ten studies were considered eligible for this topic. TRA is a comparable method with TFA for uterine artery embolization. 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.
最常用的子宫动脉栓塞方法是经股动脉入路。然而，近年来经桡动脉入路（TRA）在心脏介入治疗中越来越受欢迎，但只有少数研究表明其在子宫肌瘤治疗中的适用性。本文旨在评估 TRA 与经肱动脉、经尺动脉或经股动脉入路（TFA）在子宫动脉栓塞（UAE）中的可行性、安全性和疗效。为了评估其安全性和有效性，对 TRA 用于 UAE 的文献进行了系统评价。系统地检索了文献（Google Scholar、PubMed/MEDLINE、Cochrane Library 和 Embase），使用了“子宫动脉栓塞”/“子宫栓塞”和“经桡动脉”/“桡动脉”这两个词。检索到并分析了截至 2020 年 3 月发表的所有相关论文。有 10 项研究符合本主题的条件。TRA 是一种与 TFA 进行子宫动脉栓塞的可比较方法。这些研究使我们能够得出结论，TRA 与 TFA 一样安全有效。其优点包括并发症少、住院时间短、快速活动，但与 TFA 相比，其学习曲线陡峭，学习曲线较长。然而，这些发现是基于少数报告，需要更多的研究。
