ĐÁNH GIÁ KẾT QUẢ CỦA KỸ THUẬT CAN THIỆP ĐỘNG MẠCH TẠNG QUA ĐƯỜNG ĐỘNG MẠCH QUAY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: To evaluate the results of the visceral artery intervention through the radial access at Hanoi Medical University Hospital. Method: Cross-sectional study, from 1/2024 to 4/2024, 23 patients with appropriate indications for visceral artery intervention for radial artery access, with 23 interventions, had complete study information, excluding cases with missing information or refusal to participate in the study. Research results: In the study group, there were 20 male patients, 3 female patients, the average age was 63.2 +/- 11.5 years. Primary liver cancer (HCC) was the main cause (48%), followed by benign prostatic hyperplasia (26%), kidney diseases, uterine fibroids and other diseases. The puncture site at the wrist and the anatomical snuffbox were dominant. The rate of vasospasm was 13% (3 cases), no serious complications such as thrombosis or vascular dissection were recorded. 91% of the arterial access interventions were successful from the first puncture, 87% achieved complete occlusion of the target vessel, 74% had good clinical improvement after the intervention. Conclusion: Transradial artery visceral vascular intervention has recently been implemented in the world as well as in Vietnam. This is an easy-to-perform technique with high safety, can be performed with intra-abdominal visceral vascular embolization interventions, especially convenient with pelvic vascular embolization interventions. The optimal radial artery access location is in the left anatomical snuffbox.