Comparison of transbrachial and transfemoral venous access in varicocele embolization: impact on radiation dose and technical success - Summary - MDSpire
To examine transbrachial versus transfemoral venous access for varicocele embolization, with emphasis on radiation exposure and procedural efficiency; technical success was also assessed.
Approach:
Design and population: Retrospective single-institution review of varicocele embolizations performed from November 2007 through December 2024. Patients whose records lacked radiation-dose data were excluded.
Outcomes: Primary outcomes were technical success, dose-area product (DAP), and fluoroscopy duration. Secondary measures included patient and procedural characteristics, contrast volume, procedure duration, and complications.
Procedure: Access was established through the right median cubital or basilic vein (transbrachial) or the right common femoral vein (transfemoral). Interventionalists selected access and embolization methods at their discretion.
Interpretation:
The provided context describes the study rationale and methods but does not report comparative results.
Limitations:
The study was retrospective and conducted at a single institution.
Patients whose records lacked radiation-dose data were excluded.
Access route and embolization method were selected at the interventionalist’s discretion.
by Anna-Maria Odenthal, Alexander Marc Christian Böhner, Tatjana Dell, Carsten Meyer, Matthäus Reinert, Marilia Voigt, Julian Alexander Luetkens, Patrick Arthur Kupczyk
