Successful experience of transcatheter arterial embolization for gonarthrosis in patients with severe pain syndrome and ineffectiveness of conservative therapy
https://doi.org/10.24884/1682-6655-2021-20-3-54-60
Abstract
Osteoarthritis is a common disease of the musculoskeletal system, the cause of pain, loss of joint function and, as a consequence, a factor in the disability of the population. The treatment strategy for patients with gonarthrosis is not fully defined, especially in patients with stage 1–2. One of the treatment options for such patients is transcatheter embolization of the hypervascular network of the popliteal arteries. The article presents a series of clinical cases of embolization of the popliteal artery branches. Retrograde percutaneous puncture and catheterization of the target femoral artery were performed under local anesthesia. Then, selective angiography of the popliteal artery was performed to identify the hypervascular vasculature of the knee joint. After revealing the target artery along the interventional guidewire, selective catheterization of the artery of the hypervascular vascular network was performed using a microcatheter. Transcatheter arterial embolization of the hypervascular vascular network in osteoarthritis of various origins and localization can be successfully applied as an alternative treatment if conservative therapy is ineffective and if there are contraindications to surgical treatment. It should be noted that further randomized multicenter studies and meta-analyzes are needed to introduce this treatment method into everyday clinical practice.
About the Authors
B. M. Sharafutdinov
Kazan State Medical Academy – Branch Russian Medical Academy of Continuous Professional Education; Medical unit of the Kazan (Volga region) Federal University
Russian Federation
Russian Federation
Sharafutdinov Bulat M. – Cand. Med. Sc., Head of Angiographic Department Health Service of Kazan (Volga region) Federal University; Assistant at the Department of Cardiology, X-ray Endovascular and Cardiovascular Surgery, Kazan State Medical Academy
36, Butlerova street, Kazan, Russia
18, Kremlevskaya street, Kazan, Russia
S. A. Ryzhkin
Kazan State Medical Academy – Branch Russian Medical Academy of Continuous Professional Education; Kazan State Medical University; Kazan (Volga region) Federal University
Russian Federation
Russian Federation
Ryzhkin Sergey A. – Dr. Med. Sc., Associate Professor of the
Department of X-ray Diagnostics, Kazan State Medical Academy
– Branch Russian Medical Academy of Continuous Professional
Education; Associate Professor of the Department of General Hygiene, Kazan State Medical University; Associate Professor of the Department of Medical Physics
36, Butlerova street, Kazan, Russia
49, Butlerova street, Kazan, Russia
18, Kremlevskaya street, Kazan, Russia
E. A. Gaziev
Medical unit of the Kazan (Volga region) Federal University
Russian Federation
Russian Federation
Gaziev Edgar A. – Surgeon of Angiographic Department, Health Service of Kazan (Volga region) Federal University
18, Kremlevskaya street, Kazan, Russia
M. K. Mikhailov
Kazan State Medical Academy – Branch Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Mikhailov Mars K. – Dr. Med. Sc., Professor, Chief of the Department of X-ray Diagnostics
36, Butlerova street, Kazan, Russia
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Review
For citations:
Sharafutdinov B.M., Ryzhkin S.A., Gaziev E.A., Mikhailov M.K. Successful experience of transcatheter arterial embolization for gonarthrosis in patients with severe pain syndrome and ineffectiveness of conservative therapy. Regional blood circulation and microcirculation. 2021;20(3):54-60. (In Russ.) https://doi.org/10.24884/1682-6655-2021-20-3-54-60
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