经左侧鼻烟窝部远端桡动脉入径行肝动脉化疗栓塞术的优势OA

Objective To explore the therapeutic methods and advantages of transcatheter arterial chemoembolization through the radial artery approach at the distal end of the left snuffbox in elderly patients.Methods A total of 956 elderly patients who underwent transcatheter arterial chemoembolization in the First Hospital of Jilin University from July 2020 to July 2023 were retro-spectively analyzed.They were divided into a femoral artery group(n=779),a proximal radial artery group(n=14)and a left snuff-box distal radial artery group(n=163)according to different access diameters.Postoperative vascular complications,comfort and re-lated surgical indicators were compared among the three groups.Results There were significant differences in the incidence of postop-erative thrombosis among the three groups(P＜0.05).The incidence of postoperative thrombosis in the proximal radial artery group was higher than that in the femoral artery group and the left snuffbox distal radial artery group(P＜0.05).The differences in the inci-dence rate of postoperative limb pain and numbness among the three groups had statistical significance(P＜0.05);the incidence rate of postoperative limb pain and numbness of surgical limbs in femoral artery group was higher than that in the left snuffbox distal radial artery group(P＜0.05).There were significant differences among the three groups in postoperative limb compression time,postopera-tive bed rest time,postoperative deflation/decompression times,cumulative puncture times of approach artery,and cost of compression materials(P＜0.05).Among them,the left snuffbox distal radial artery group had the shortest compression time of operated limb,postoperative bed rest time,postoperative deflation/decompression times,cumulative puncture times of approach artery,and cost of compression materials were relatively less.Conclusion For elderly patients,transcatheter arterial chemotherapy through the distal ra-dial artery of the left snuffbox can simplify the work and reduce the treatment workload,while the patients have fewer vascular compli-cations,high comfort and less cost,which is conducive to clinical promotion.