Study on the effect of endovascular spring coil interventional embolization in the treatment of splenic artery aneurysm through the distal radial artery approach
Objective To investigate the clinical effect of endovascular spring coil interventional embolization in the treatment of splenic artery aneurysm through the distal radial artery approach.Methods The clinical data of 56 patients with splenic artery aneurysm who received endovascular coil interventional embolization in Xi'an Third Hospital from December 2021 to December 2023 were retrospectively analyzed.The patients were divided into two groups according to the different surgical approaches:25 patients who took the distal radial artery approach through the anatomical snuff bottle area were classified as a distal radial artery group,and 31 patients who took the femoral artery approach were classified as a femoral artery group.In the distal radial artery group,there were 15 males and 10 females,aged(55.2±8.5)years,with a tumor diameter of(3.9±1.3)cm.In the femoral artery group,there were 17 males and 14 females,aged(54.4±8.3)years,with a tumor diameter of(3.7±1.2)cm.The operation status,complication rate,and postoperative follow-up results were compared between the two groups.Independent sample t test,x2 test,and Fisher exact probability method were used for statistical analysis.Results The puncture time[(5.6±1.1)min vs.(5.1±1.0)min],X-ray irradiation time[(12.1±3.2)min vs.(10.7±3.0)min],and operation time[(57.6±15.4)min vs.(50.8±14.1)min]in the distal radial artery group were all longer than those in the femoral artery group(all P＜0.05),but no need to stay in bed after surgery.There was no statistically significant difference in the success rate of puncture or operation between the distal radial artery group and the femoral artery group(both P＞0.05).The total incidence of complications in the distal radial artery group was lower than that in the femoral artery group[12.0％(3/25)vs.35.5％(11/31)](P＜0.05).No spring coil displacement,ectopic embolism,tumor recalculation,recurrence or death were observed in both groups during follow-up.Conclusions It is safe and feasible to embolize the splenic artery aneurysm through the distal radial artery approach.Although the operation time during perioperative period is slightly longer,there is no need to stay in bed after operation,and it can effectively shorten the postoperative hospitalization time,which is more conducive to the patients'postoperative recovery.
Splenic artery aneurysmDistal radial artery approachControllable spring coilInterventional embolization
万方数据
维普
