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More minimally invasive and more comfortable! Zhongshan People's Hospital successfully implemented transradial artery intervention for liver cancer pa

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Author : Joe Wong
Update time : 2021-07-05 16:08:24
More minimally invasive and more comfortable! Zhongshan People's Hospital successfully implemented transradial artery intervention for liver cancer patients

On June 24, 2021, Zhang Bin, the chief physician of the Minimally Invasive Department of People's Hospital, led the interventional team to successfully carry out radial artery puncture TACE treatment for a 56-year-old female patient with primary liver cancer. The operation only took 50 minutes. After the operation, the patient walked out of the examination bed and moved freely. After 4 hours, the radial artery hemostat device was removed and he felt good without any discomfort.

Zhang Bin introduced that transcatheter hepatic arterial chemoembolization (TACE) is to selectively insert a catheter into the blood supply artery of the liver tumor and inject chemotherapeutic drugs and embolic agents to play a role in local chemotherapy and block the blood supply of the tumor. TACE is the treatment of choice for patients with advanced liver cancer who cannot be surgically removed. It can control tumor progression and prolong survival. At present, TACE mostly uses the femoral artery (a branch of the lower extremity artery, which can be touched at the base of the thigh) to perform surgery. However, this approach has some disadvantages. For example, the patient's lower extremity needs to be immobilized for more than 8 hours after the operation and stay in bed for 24 In addition, there may be complications such as bleeding at the puncture site, hematoma, and pseudoaneurysm. For patients using anticoagulant or thrombolytic drugs, it is even more necessary to prolong the patient's bed time after surgery, which increases the patient's discomfort and the risk of lower extremity venous thrombosis and even pulmonary embolism.

After TACE is punctured through the radial artery (branch of the arm artery, which can be touched and pulsated on the palm side of the wrist), the arterial catheter is pushed to the blood supply artery of the tumor under the guidance of the guide wire, and the arterial infusion chemotherapy or chemoembolization is given. Routine operation time is 1-2 hours. Because the radial artery puncture point is superficial, it is easy to compress and stop bleeding and monitor, which almost eliminates the risk of arterial bleeding. After the interventional treatment through the puncture path, the patient does not need to stay in bed and brake, and can freely get out of bed after returning to the ward. Basically take care of life independently, which greatly improves the comfort of the patient. It is especially suitable for obesity, unable to lie down for a long time, and clotting. Patients with dysfunction and tortuous iliac arteries.