Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review

JIANG Ying-jie; SU Rui; CHANG Zhi-hui; LU Zai-ming; LIU Zhao-yu

Journal of China Clinic Medical Imaging ›› 2013, Vol. 24 ›› Issue (1) : 23-25.

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Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review

JIANG Ying-jie1, SU Rui2, CHANG Zhi-hui3, LU Zai-ming3, LIU Zhao-yu3

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Abstract

Objective: To assess the efficacy and safety of bilateral and unilateral femoral arterial puncture for uterine artery embolization. Methods: We searched the Cochrane Library, MEDLINE, EMbase, CBM(from inception to Jul. 2012). Clinical controlled trials were identified according to the inclusion and exclusion criteria, and then the quality of included trials was accessed, and the data were extracted. Meta-analysis was performed by RevMan 5.0.22 software. Results: Two studys were included. One study involving 57 participants was randomized controlled trial(RCT), the results showed bilateral puncture procedures had less fluoroscopy time and less procedure time, and there was no difference in dose-area product(DAP). Another study was prospective non-RCT included 24 patients, the results showed that bilateral femoral puncture compared with unilateral shortened fluoroscopy time. Moreover there was no statistical difference in the procedure time and DAP between the two groups. Conclusion: Bilateral femoral arterial puncture may be shortened the fluoroscopic time and do not increase postoperative complications, but no evidence supported bilateral femoral puncture can shortened procedure time and reduced DAP compared with unilateral puncture. However, the evidence is not strong enough because of the low quality of the included studies. Thus, more high-quality RCTs are required in the future.

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Uterine neoplasms / Embolism / therapeutic / Meta-analysis

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JIANG Ying-jie;SU Rui;CHANG Zhi-hui;LU Zai-ming;LIU Zhao-yu. Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review[J]. Journal of China Clinic Medical Imaging. 2013, 24(1): 23-25