Antonio Basile1,2, Alberto Rebonato3, Giovanni Failla4, Giuseppe Caltabiano2, Andrea Boncoraglio5,6, Cecilia Gozzo1, Alessandro Motta1, Pietro Valerio Foti1, Stefano Palmucci1, Alfonso Juanjo García7, Josè Garcia-Medina8. 1. Department of Radiodiagnostic and Radiotherapy, University Hospital "Policlinico-Vittorio Emanuele", Via Santa Sofia 78, 95100, Catania, Italy. 2. Diagnostic and Interventional Radiology Department, Garibaldi Hospital, Piazza Santa Maria Del Gesù, 95100, Catania, Italy. 3. Radiology Institute, University of Perugia, Perugia, Italy. 4. Department of Diagnostic and Interventional Radiology, Azienda Ospedaliera per l'Emergenza "Cannizzaro", Via Messina, 829-95126, Catania, Italy. 5. Department of Radiodiagnostic and Radiotherapy, University Hospital "Policlinico-Vittorio Emanuele", Via Santa Sofia 78, 95100, Catania, Italy. andreab1988@hotmail.it. 6. , Modica, Italy. andreab1988@hotmail.it. 7. Division of Preventive Medicine and Public Health, University of Murcia School of Medicine, Murcia, Spain. 8. Department of Vascular and Interventional Radiology, General University Hospital "Reina Sofia", Murcia, Spain.
Abstract
PURPOSE: The aim of our study is to verify VAS and patient compliance in the immediate post-procedural time, in patients undergoing UAE through radial approach versus femoral procedure. METHODS: Between January and September 2017, 30 consecutive patients (age range 28-47, average 32 years) were enrolled for the study. UAE was performed by two interventional radiologists with more than 10 years of experience and more than 100 cases of UAE done. Patients were divided into two groups: transfemoral approach (group a, n = 15 patients) and transradial approach (group b, n = 15 patients). After procedure, patients were questioned about the compliance using the questionnaire at 24 h and VAS rating at 6, 12, 18 and 24 h. RESULTS: The average of VAS in group b was lower than in group a in each evaluation at 6 h (p < 0.20), 12 h (p < 0.07), 18 h (p < 0.02) and 24 h (p < 0.22) on the basis of Mann-Whitney U test, however, without a clear scientific evidence. Also the compliance score at 24 h had better results in the group b (average 14.0, range 13.0-16.0) in comparison with group a (average 18.0, range 17.0-21.4) (p < 0.001). CONCLUSION: Transradial approach improves the compliance and VAS of patients undergone to UAE.
PURPOSE: The aim of our study is to verify VAS and patient compliance in the immediate post-procedural time, in patients undergoing UAE through radial approach versus femoral procedure. METHODS: Between January and September 2017, 30 consecutive patients (age range 28-47, average 32 years) were enrolled for the study. UAE was performed by two interventional radiologists with more than 10 years of experience and more than 100 cases of UAE done. Patients were divided into two groups: transfemoral approach (group a, n = 15 patients) and transradial approach (group b, n = 15 patients). After procedure, patients were questioned about the compliance using the questionnaire at 24 h and VAS rating at 6, 12, 18 and 24 h. RESULTS: The average of VAS in group b was lower than in group a in each evaluation at 6 h (p < 0.20), 12 h (p < 0.07), 18 h (p < 0.02) and 24 h (p < 0.22) on the basis of Mann-Whitney U test, however, without a clear scientific evidence. Also the compliance score at 24 h had better results in the group b (average 14.0, range 13.0-16.0) in comparison with group a (average 18.0, range 17.0-21.4) (p < 0.001). CONCLUSION: Transradial approach improves the compliance and VAS of patients undergone to UAE.
Authors: D K Filippiadis; C Binkert; O Pellerin; R T Hoffmann; A Krajina; P L Pereira Journal: Cardiovasc Intervent Radiol Date: 2017-06-05 Impact factor: 2.740
Authors: Neil J Resnick; Edward Kim; Rahul S Patel; Robert A Lookstein; F Scott Nowakowski; Aaron M Fischman Journal: J Vasc Interv Radiol Date: 2014-03 Impact factor: 3.464
Authors: Benjamin Hibbert; Trevor Simard; Kumanan R Wilson; Steven Hawken; George A Wells; F Daniel Ramirez; Michel R Le May; Derek Y So; Chris A Glover; Michael Froeschl; Jean-Francois Marquis; Marino Labinaz; Alexander Dick; Edward R O'Brien Journal: JACC Cardiovasc Interv Date: 2012-08 Impact factor: 11.195
Authors: Raghuram Posham; Derek M Biederman; Rahul S Patel; Edward Kim; Nora E Tabori; F Scott Nowakowski; Robert A Lookstein; Aaron M Fischman Journal: J Vasc Interv Radiol Date: 2015-12-22 Impact factor: 3.464
Authors: Sunil V Rao; Fang-Shu Ou; Tracy Y Wang; Matthew T Roe; Ralph Brindis; John S Rumsfeld; Eric D Peterson Journal: JACC Cardiovasc Interv Date: 2008-08 Impact factor: 11.195