Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis
Dawoud, M., Alaa, D., Elzanaty, M., Eltabakh, A., Ahmed, N. (2023). Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis. EKB Journal Management System, 13(1), 87-93. doi: 10.21608/ebwhj.2023.186446.1228
Mariam Dawoud; Doaa Alaa; Marwa Elzanaty; Ahmed Eltabakh; Nancy Ahmed. "Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis". EKB Journal Management System, 13, 1, 2023, 87-93. doi: 10.21608/ebwhj.2023.186446.1228
Dawoud, M., Alaa, D., Elzanaty, M., Eltabakh, A., Ahmed, N. (2023). 'Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis', EKB Journal Management System, 13(1), pp. 87-93. doi: 10.21608/ebwhj.2023.186446.1228
Dawoud, M., Alaa, D., Elzanaty, M., Eltabakh, A., Ahmed, N. Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis. EKB Journal Management System, 2023; 13(1): 87-93. doi: 10.21608/ebwhj.2023.186446.1228

Efficacy and Safety of the Transracial Approach (TRA) Versus. Transfemoral Approach (TFA) in Uterine Artery Embolization (UAE) for the Management of Uterine Fibroids; A Systematic Review and Meta-Analysis

Evidence Based Women's Health Journal
Article 14, Volume 13, Issue 1, February 2023, Page 87-93  XML PDF (413.53 K)
Document Type: Original Article
DOI: 10.21608/ebwhj.2023.186446.1228
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Authors
Mariam Dawoud email 1; Doaa Alaa2; Marwa Elzanaty3; Ahmed Eltabakh4; Nancy Ahmed3
1Department of Obstetrics &Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
2Department of Obstetrics &Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt
3Department of Obstetrics &Gynecology, Faculty of Medicine, Beni-suef University, Beni-suef, Egypt.
4Department of Obstetrics &Gynecology, Faculty of Medicine, AL-AZHER University, AL-AZHER, Egypt.
Abstract
Objectives : To compare efficacy and safety of the Transradial approach (TRA) with that of the transfemoral approach (TFA) in uterine artery embolization (UAE) for the management of uterine fibroids.
Methods: We searched PubMed, SCOPUS, and Web of Science for relevant clinical trials and observational studies. Quality
appraisal was evaluated according to GRADE and we assessed the risk of bias of the trials using Cochrane’s risk of bias tool.  Observational studies were evaluated according to the National Heart, Lung, and Blood Institute (NHLB).
Results: We included a total of four studies one of them is a RCT and the others are obsrvitional studies. The pooled analysis showed that TRA was associated with a significant reduction of the procedure time (MD= -7.13 [-9.92, -4.35], (P = 0.001).  There is no significant difference between both groups regarding the fluoroscopy time (MD= -1.07 [-3.92, 1.78], (P = 0.46), radiation exposure (MD= -0.14 [-0.35, 0.08]), (P = 0.21), major access site complications (OR= 0.66 [0.24, 1.85], (P = 0.43), and minor access site complications (OR= 0.69 [0.33, 1.43]), (P = 0.32).
Conclusion: Transradial and transfemoral approaches have the same safety and efficacy but the transradial was associated
with a short duration of the procedure.  
Keywords
Transfemoral; transradial; uterine artery embolization; uterine fibroids
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