A Comparison of Transradial and Transfemoral Access for Splenic Angio-Embolisation in Trauma: A Single Centre Experience

The study compared transradial access (TRA) and transfemoral access (TFA) for splenic angio-embolisation (SAE), with a focus on technical success, intra-operative adjuncts, and complications. This was a retrospective comparative study of all trauma patients undergoing SAE by TRA or TFA between Febru...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2020-03, Vol.59 (3), p.472-479
Main Authors: Adnan, Sakib M., Romagnoli, Anna N., Martinson, James R., Madurska, Marta J., Dubose, Joseph J., Scalea, Thomas M., Morrison, Jonathan J.
Format: Article
Language:English
Subjects:
Adult
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - mortality
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - mortality
Endovascular intervention
Female
Femoral Artery - diagnostic imaging
Humans
Male
Middle Aged
Punctures
Radial Artery - diagnostic imaging
Retrospective Studies
Risk Factors
Splenic angio-embolisation
Splenic Artery - diagnostic imaging
Splenic injury
Time Factors
Transfemoral access
Transradial access
Treatment Outcome
Wounds and Injuries - diagnostic imaging
Wounds and Injuries - mortality
Wounds and Injuries - therapy
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Summary:The study compared transradial access (TRA) and transfemoral access (TFA) for splenic angio-embolisation (SAE), with a focus on technical success, intra-operative adjuncts, and complications. This was a retrospective comparative study of all trauma patients undergoing SAE by TRA or TFA between February 2015 and February 2019 at a single institution. The medical records were queried for procedural and post-operative data, with comparisons made based on access site. Continuous variables were compared using a two tailed t test and categorical variables were compared using a chi square test. Over a four year period, there were 47 cases of SAE via TRA and 127 via TFA. Technical success was 95.7% during TRA and 98.4% during TFA (p = .30). Technical failures were a result of failed splenic artery cannulation after successful radial or femoral access. Time to splenic cannulation was shorter in the TRA group (19 min vs. 30 min; p = .008). Two or fewer catheters were used during TRA, whereas more than two catheters were needed during TFA (p 
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2019.11.028