A new imaging classification for safer radial access visceral intervention of the liver and optimal case selection : A preliminary report
© 2023 Japan Society of Hepatology..
AIM: The aim of this study was to evaluate the use of a new classification for safer transradial access hepatic interventional radiology, based on preoperative evaluation of the location of the left subclavian artery bifurcation in the aortic arch.
METHODS: A total of 38 consecutive patients with hepatocellular carcinoma and 74 sessions of radial access for visceral intervention (R.A.V.I.) were reviewed. We classified the location of the left subclavian artery bifurcation in the aortic arch in three areas using an oblique view computed tomography image matched with the curve of the aortic arches according to a new criteria Three Areas Criteria For R.A.V.I. (named "TAC-F-R"), and measured the required time from initial left radial artery arteriography to celiac artery or superior mesenteric artery arteriography.
RESULTS: The median time required for left radial artery arteriography to the celiac artery or superior mesenteric artery arteriography in each of the three areas were: area A, 0:11:10 (h, min, s); area B, 0:14:44; and area C, 0:31:51. There were significant differences between each area after Bonferroni correction (p < 0.01; A vs. B, p = 0.086; A vs. C, p = 0.001; and B vs. C, p = 0.045), with areas A and B requiring a significantly shorter time. Finally, no patients showed neurogenic disfunction within 1 week after the R.A.V.I.
PROCEDURE:.
CONCLUSIONS: The new classification, "TAC-F-R," for safer transradial access hepatic interventional radiology is effective for avoiding difficult cases, and selects more suitable patients with hepatocellular carcinoma for the R.A.V.I.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
Hepatology research : the official journal of the Japan Society of Hepatology - (2023) vom: 19. Dez. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kawamura, Yusuke [VerfasserIn] |
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| Links: |
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| Themen: |
Cerebrovascular complications |
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| Anmerkungen: |
Date Revised 08.01.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1111/hepr.13998 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366029584 |
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| 041 | |a eng | ||
| 100 | 1 | |a Kawamura, Yusuke |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A new imaging classification for safer radial access visceral intervention of the liver and optimal case selection |b A preliminary report |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 08.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2023 Japan Society of Hepatology. | ||
| 520 | |a AIM: The aim of this study was to evaluate the use of a new classification for safer transradial access hepatic interventional radiology, based on preoperative evaluation of the location of the left subclavian artery bifurcation in the aortic arch | ||
| 520 | |a METHODS: A total of 38 consecutive patients with hepatocellular carcinoma and 74 sessions of radial access for visceral intervention (R.A.V.I.) were reviewed. We classified the location of the left subclavian artery bifurcation in the aortic arch in three areas using an oblique view computed tomography image matched with the curve of the aortic arches according to a new criteria Three Areas Criteria For R.A.V.I. (named "TAC-F-R"), and measured the required time from initial left radial artery arteriography to celiac artery or superior mesenteric artery arteriography | ||
| 520 | |a RESULTS: The median time required for left radial artery arteriography to the celiac artery or superior mesenteric artery arteriography in each of the three areas were: area A, 0:11:10 (h, min, s); area B, 0:14:44; and area C, 0:31:51. There were significant differences between each area after Bonferroni correction (p < 0.01; A vs. B, p = 0.086; A vs. C, p = 0.001; and B vs. C, p = 0.045), with areas A and B requiring a significantly shorter time. Finally, no patients showed neurogenic disfunction within 1 week after the R.A.V.I | ||
| 520 | |a PROCEDURE: | ||
| 520 | |a CONCLUSIONS: The new classification, "TAC-F-R," for safer transradial access hepatic interventional radiology is effective for avoiding difficult cases, and selects more suitable patients with hepatocellular carcinoma for the R.A.V.I | ||
| 520 | |a PROCEDURE: | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a cerebrovascular complications | |
| 650 | 4 | |a hepatocellular carcinoma | |
| 650 | 4 | |a radial access for visceral intervention (R.A.V.I.) | |
| 650 | 4 | |a transfemoral access | |
| 650 | 4 | |a transradial access | |
| 700 | 1 | |a Akuta, Norio |e verfasserin |4 aut | |
| 700 | 1 | |a Fujiyama, Shunichiro |e verfasserin |4 aut | |
| 700 | 1 | |a Hosaka, Tetsuya |e verfasserin |4 aut | |
| 700 | 1 | |a Saitoh, Satoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Sezaki, Hitomi |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Fumitaka |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Yoshiyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Ikeda, Kenji |e verfasserin |4 aut | |
| 700 | 1 | |a Arase, Yasuji |e verfasserin |4 aut | |
| 700 | 1 | |a Kumada, Hiromitsu |e verfasserin |4 aut | |
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