{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:06:20Z","timestamp":1787018780638,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Uterine artery embolization (UAE) is a procedure commonly used to control uterine bleeding or pain. While the procedure is traditionally performed through the transfemoral approach (TFA), the transradial approach (TRA) is another method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the effectiveness of the UAE using the TRA approach versus the TFA approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This non-blinded, randomized clinical trial was conducted at a tertiary hospital between 1 January 2019 and 30 June 2022. A total of 42 female patients with abnormal uterine bleeding and\/or pelvic pain from uterine fibroids were randomly assigned to either the TRA group or the TFA group. Data collected included demographic information, procedural details, patient satisfaction, and radiation metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The TRA group had significantly lower numbers of microsphere vials used compared to the TFA group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.014). While there were no significant differences in procedure times (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.058), fluoroscopic times (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.117), or radiation doses (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.466), the TRA approach was associated with a higher success rate in achieving bilateral UA catheterization and fewer instances of bilateral sheath insertion. Patient satisfaction scores were similar between the groups, with no statistically significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.932). Minor adverse events such as local hematoma and color changes were more frequent in the TFA group, though these differences were not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although both approaches were effective for the UAE, the TRA approach may be a viable alternative to the TFA due to its higher success rate in achieving bilateral catheterization, lower radiation doses, and shorter procedural times.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851241297818","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T02:08:06Z","timestamp":1739844486000},"page":"165-173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of the transradial and transfemoral approaches for uterine artery embolization: a randomized clinical trial"],"prefix":"10.1177","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1921-5581","authenticated-orcid":false,"given":"Ahmed A","family":"Bessar","sequence":"first","affiliation":[{"name":"Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmin Ibrahim","family":"Libda","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maichael","family":"Talaat","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt"},{"name":"Department of Neuroradiology, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, APHP, Sorbonne University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enjy Fathy","family":"Tantawy","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Ismail","family":"Heraiz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manar A","family":"Bessar","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Faculty of Medicine, Zagazig University, Zagazig, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"29","article-title":"Uterine artery embolization for leiomyomata","volume":"98","author":"Spies JB","year":"2001","unstructured":"Spies JB, Ascher SA, Roth AR, et al. 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