Transradial versus Transfemoral Access for Patients with Liver Cancer Undergoing Hepatic Arterial Infusion Chemotherapy: Patient Experience and Procedural Complications

Comparison Between Radial and Femoral Artery Access for Transarterial Chemoembolization in Patients With Hepatocellular Carcinoma

“…25 In another study, Wan et al reported 92.3% (24/26) technical success rate for hepatic arterial infusion chemotherapy using RAA and 100% (43/43) technical success rate using FAA in their retrospective cohort ( P = .139) and 100% technical success rate using RAA or FAA in their prospective cohort. 21 The same results were reported by Iezzi et al who found 100% technical success rates for TACE using either RAA or FAA. 20 Our results provide further evidence on the technical efficacy of RAA for TACE in patients with HCC.…”

“…In addition, the incidence of complications with both procedures remains unclear. One study reported a greater incidence of access-site complication with RAA with a rate of radial artery occlusion (RAO) up to 33% (11 out of 33 TACEs) 21 whereas other studies reported lower rates of access site complication with RAA. 5,22 The purpose of this study was to compare the technical success rate, the selectivity of TACE, the complication rate, the radiation dose given to the patients and the hospitalization stay between TACE performed using FAA and TACE performed using RAA in patients with HCC.…”

“…In addition, the incidence of complications with both procedures remains unclear. One study reported a greater incidence of access-site complication with RAA with a rate of radial artery occlusion (RAO) up to 33% (11 out of 33 TACEs) 21 whereas other studies reported lower rates of access site complication with RAA. 5,22…”

Chinese expert consensus on transradial access in percutaneous peripheral interventions

“…In China, an increasing number of centers are exploring TRA in TACE, hepatic arterial infusion chemotherapy, and interventional treatment for visceral aneurysms and gynecological diseases, and are gradually accumulating experience in the clinical application of TRA in peripheral interventions. 9 , 10 , 11 , 12 , 13 Unlike coronary interventions, peripheral interventions involve many vessels, anatomical variations, and various interventional methods and even require repeated treatment and/or combined use of the femoral artery approach. Peripheral interventions involve a wider range of diseases, larger patient populations, and more physicians.…”

“…In addition, procedures via TRA do not expose the patients’ private zones, which significantly improves their experience. TRA allows for rapid postprocedural recovery and improves patient satisfaction 13 , 21 , 22 , 23 (Evidence level A, Recommendation level I), and is suitable for interventions in day care units.…”