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
1.Department of Interventional Radiology, Lingyuan Prison Management Branch Bureau Center Hospital in Liaoning,Lingyuan Liaoning 122500, China; 2.Class 16 of Preventive Medicine, China Medical University, Shenyang 110001,China; 3.Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China
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.
2013, Vol. 24 
