Patient Experience and Preference in Transradial versus Transfemoral Access during Transarterial Radioembolization: A Randomized Single-Center Trial

Journal of Vascular and Interventional Radiology : JVIR
Lisa B LiuAaron M Fischman

Abstract

To determine patient preference for transradial access (TRA) or transfemoral access (TFA) after experiencing both. A randomized controlled crossover trial was conducted at a single institution. Thirty patients with hepatocellular carcinoma undergoing mapping and transarterial radioembolization (TARE) were enrolled to experience 1 TRA and 1 TFA procedure each, with randomization of which access approach was experienced first. Surveys assessing pain and quality of life (QOL) were administered after each procedure. Access site preference was collected after completion of both procedures. Twenty-two subjects (73.3%) preferred TRA, 4 (13.3%) preferred TFA, and 4 (13.3%) had no preference; 14 (46.7%) reported bruising after TRA, and 17 (53.3%) reported bruising after TFA. TRA was associated with significantly lower pain scores overall during the procedure, at the access site during the procedure, and in the recovery room compared with TFA (2.0 vs 2.9, P = .0046; 2.0 vs 3.0, P = .0004; 2.1 vs 2.9, P = .0357). Pain score after discharge was not significantly different (1.4 vs 1.5, P = .4235). QOL scores were not significantly different between TRA and TFA. No significant differences were found for fluoroscopy time, air kerma, dose-area...Continue Reading

Citations

May 5, 2020·VASA. Zeitschrift für Gefässkrankheiten·Jean-Eudes TrihanFabrice Schneider
Sep 10, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hee Ho ChuSoo Buem Cho
Feb 12, 2020·Cardiovascular and Interventional Radiology·Louis-Xavier BarretteTimothy W I Clark
Dec 10, 2020·AJR. American Journal of Roentgenology·Samuel Z Maron, Aaron M Fischman
Dec 10, 2020·AJR. American Journal of Roentgenology·Adam Swersky, Riad Salem
May 3, 2021·Journal of Vascular and Interventional Radiology : JVIR·Antony GayedMarcelo Guimaraes
May 8, 2021·AJNR. American Journal of Neuroradiology·H AlshehriP Muthusami
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Muhammad U ManzoorAbdulrahman Y Alturki
Aug 17, 2021·Seminars in Interventional Radiology·Patricia ChanNima Kokabi
Nov 1, 2021·Journal of Vascular and Interventional Radiology : JVIR·Clark R RestrepoGajan Sivananthan

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