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Inicio Medicina Clínica (English Edition) Embolization of genicular arteries in patients with knee osteoarthritis as an al...
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Vol. 159. Issue 12.
Pages 592-597 (December 2022)
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Vol. 159. Issue 12.
Pages 592-597 (December 2022)
Review
Embolization of genicular arteries in patients with knee osteoarthritis as an alternative for refractory pain treatment: A systematic review
Embolización de arterias geniculares en pacientes con osteoartrosis de rodilla como alternativa de tratamiento del dolor. Una revisión sistemática
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Kerbi Alejandro Guevara-Noriega
Corresponding author
kerbiguevara@hotmail.com

Corresponding author.
, Raquel Chavez-Abiega, Juan Gabriel Castro-Rios
Vascular Surgery Department, Parc Tauli University Hospital, Sabadell, Spain
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Abstract
Background

Genicular 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.

Methods

Review according to PRISMA® standards on genicular artery embolization and knee osteoarthritis.

Results

Thirteen 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.

Conclusion

Genicular 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.

Keywords:
Knee osteoarthritis
Arterial embolization
Vascular surgery
Genicular arteries
Refractory chronic pain
Arthrosis
Resumen
Introducción

La embolización de arterias geniculares emerge como una técnica innovadora para el tratamiento del dolor refractario en pacientes con osteoartrosis (OA) de rodilla. Se exponen los datos disponibles sobre su eficacia en pacientes con OA de rodilla y dolor persistente, como tratamiento alternativo o asociado a tratamiento farmacológico.

Métodos

Revisión según estándares PRISMA® sobre embolización de arterias geniculares y OA de rodilla.

Resultados

Se analizaron 13 publicaciones según criterios de inclusión, de un total de 63 estudios obteniendo datos de 914 pacientes. Las indicaciones de embolización se realizaron en pacientes con dolor crónico severo refractario a tratamiento conservador y con OA de rodilla moderada a severa. Solo se han reportado complicaciones menores.

Conclusión

La embolización de arterias geniculares es una alternativa posible y potencialmente muy eficaz en el tratamiento del dolor articular crónico en pacientes con OA de rodilla, y sin complicaciones graves descritas. Todos los estudios concluyen a su favor en el tratamiento del dolor articular en estos pacientes.

Palabras clave:
Artrosis de rodilla
Embolizacion arterial
Cirugia vascular
Arterias geniculares
Dolor refractario
Dolor crónico
Osteoartritis

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