• Medicina clinica · Dec 2022

    Review

    Embolization of genicular arteries in patients with knee osteoarthritis as an alternative for refractory pain treatment: A systematic review.

    • Kerbi Alejandro Guevara-Noriega, Raquel Chavez-Abiega, and Juan Gabriel Castro-Rios.
    • Vascular Surgery Department. Parc Tauli University Hospital, Sabadell, Spain. Electronic address: kerbiguevara@hotmail.com.
    • Med Clin (Barc). 2022 Dec 23; 159 (12): 592597592-597.

    BackgroundGenicular artery embolization emerges as an innovative technique described for the treatment of refractory pain in patients with knee osteoarthritis. This review summarizes the available data on the efficacy of genicular artery embolization in patients with knee osteoarthritis (OA) and refractory pain as an alternative treatment or associated with pharmacological treatment.MethodsReview according to PRISMA® standards on genicular artery embolization and knee osteoarthritis.ResultsThirteen publications out of a total of 63 studies reporting data from 914 patients were analyzed according to inclusion criteria. The indication of embolization was performed in patients with severe chronic pain refractory to conservative treatment and moderate-to-severe knee OA. Only minor complications have been reported.ConclusionGenicular artery embolization is a possible and potentially very effective alternative in the treatment of chronic refractory pain in patients with knee OA, without serious complications. All studies conclude in favor of embolization of the genicular arteries in the treatment of chronic refractory pain in patients with knee OA.Copyright © 2022 Elsevier España, S.L.U. All rights reserved.

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