经左侧远桡动脉入路在肝动脉化疗栓塞术中的应用

目的评估采用经左侧远桡动脉行肝动脉化疗栓塞术（TACE）的可行性及安全性。 方法回顾性收集我中心2020年10月至2021年7月经左侧远桡动脉行TACE的患者15例，对穿刺成功率、置鞘成功率、穿刺点渗血或血肿、动脉夹层、动脉闭塞等并发症发生率进行统计。 结果15例患者均穿刺成功，14例患者穿刺后成功置入鞘管，置鞘成功率93.3%，1例患者由于动脉痉挛，导丝无法通过血管最终转为股动脉入路手术。术后1例患者发生穿刺点渗血，未见动脉夹层或闭塞等并发症。 结论初步经验显示经远桡动脉入路行TACE是安全可行的，未来还需大样本病例证实。

The use of distal transracial access for transcatheter arterial chemoembolization

ObjectiveTo study the feasibility and safety of diatal transradial access (dTRA) for transcatheter arterial chemoembolization (TACE). MethodsThis retrospective study enrolled 15 patientswho received TACE through distal transradial access from November 2020 to July 2021. The rate of successful puncture and successful introduction of sheath, access site-related hemorrhage or hematoma, dissection of aorta and radial artery occlusion (RAO) was evaluated. ResultsAll of the 15 patients were successfully punctured into the left diatal radial artery. Only one patient had to transform to transfemoral access (TFA) TACE due to vasospasm. One patient was found bleeding at the puncture site after surgery. No dissection of artery or RAO was observed. ConclusionsOur preliminary experience with dTRA for TACE demonstrates excellent feasibility and safety. However, further randomized controlled trial is still needed to verify our preliminary experience.