Trans-radial Approach for Uterine Fibroid Embolization
After learning what uterine fibroid embolization is, it is important to understand the various treatment options: such as trans-radial approach for uterine fibroid embolization. A new technique is available that allows doctors to treat fibroids from the radial artery in the wrist.
What does trans-radial approach for uterine fibroid embolization mean?
This approach uses the artery in the wrist as the entry point to the arterial system, from which the uterine arteries eventually arise, rather than the more traditional femoral artery approach via the groin.
The radial artery is located close to the surface of the skin, which makes catheter/wire entry easier and more comfortable for patients. We always use the left radial artery.
The trans-radial approach makes it easier to control bleeding and identify bleeding complications quickly. After the procedure, our patients can literally step off the theatre bed and begin their recovery. They are able to either sit up in bed or if they feel like it, walk around their bed in the ward. This improves the tolerance of the post-procedure pain.
Entry through the wrist rather than the groin can or maybe faster, more convenient, and more comfortable for patients. Once the wires/catheters have been removed from the radial artery, the small hole is sealed with using an air-filled wristband, which you wear for 4 hours. This is painless.
Femoral procedures require patients to lie quietly on their backs for 6-8 hours. Once the wires/catheters have been removed from the femoral artery, manual pressure is usually applied to the groin for up to 10 minutes. This might often prove uncomfortable. With this procedure, patients are up and walking immediately after their procedure.
Potential risks and complications
Patients are carefully selected prior to commencing an approach via the radial artery. Small percentages are not suitable for such an approach since their radial artery is the sole artery that supplies blood to the hand. One of our doctors will evaluate your radial artery by compressing the artery while measuring the flow of blood to your hand. This is a quick and totally painless, bedside procedure done on the morning of the embolization.
The first trans-radial approach for uterine fibroid embolisation, a coronary angiogram, was performed in Montreal, Canada in 1989. Today, the best fibroid doctors in South Africa are now performing the radial artery procedure more and more. Femoral artery access remains the traditional method of doing angiography. The introduction of the trans-radial approach offers our patients another alternative when they are choosing uterine fibroid embolisation.
Consultation with Fibroid Care does not require a physician referral.
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Netcare Femina Hospital
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What Patients Say
The result for me is I don’t feel tired anymore. I feel younger than I was then. I have far more energy and a flatter looking tummy. It’s been just over a year now. My fibroid is still there but it is a lot smaller and lighter
Before UFE, during my cycle I would bleed for 10 days. But after UFE I only bled for 3-4 days and significantly less. All the other symptoms I experienced before had improved as soon as three months. I had so much energy afterward. I even started running—it was that drastic
I was thrilled to find an option other than major surgery to solve my problems with fibroids. Better yet was the fact that my recovery was days, not weeks. I missed only one day of work and was swimming even before returning to work. As time passes, I continue to be thankful for this procedure and for Dr Lawson being there throughout the embolization as well as for his continuing follow ups.