摘要

Background: Artery catheterization was a common procedure in clinic. Palpation was the traditional method for artery catheterization. Whether the use of ultrasound-guided technique can increase the success rate and reduce the complication of artery catheterization were not identified. We therefore perfomed this meta-analysis. Methods: We searched Pubmed, EMBASE and Cochrane library, a total of 10 RCTs met our inclusive criteria. The patients included radial or femoral artery catheterization through ultrasound guidance or palpation. We compared the first attempt success rate and the incidence of hematoma. Results: Ultrasound-guided technique provided higher the first attempt success rate during both radial and femoral artery catheterization than traditional palpation technique [RR 1.35, 95% CI 1.09-1.67; P=0.005]. Ultrasound-guided technique also reduced the incidence of hematoma, especial during femoral artery catheterization [RR 0.39, 95% CI 0.24-0.65; P=0.0002]. Conclusion: Compared to traditional palpation technique, ultrasound-guided technique increased the first attempt success rate and reduced the incidence of hematoma during artery catheterization.