Early Results of Transcatheter Arterial Embolization for Relief of Chronic Shoulder or Elbow Pain Associated with Tendinopathy Refractory to Conservative Treatment

Hwang, Jin Ho; Park, Sang Woo; Kim, Ki‐Hyun; Lee, Seoung Joon; Oh, Kyung-Soo; Chung, Seok Won; Moon, Sung Gyu

doi:10.1016/j.jvir.2017.11.013

Cited by 48 publications

(56 citation statements)

References 25 publications

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Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

“…Angiogenesis is known to contribute to chronic pain in osteoarthritis by enabling growth of new unmyelinated sensory nerves along their path [94]. Histopathological studies have demonstrated the existence of abnormal vessels accompanying nerve fibers in tissues from various painful conditions, including osteoarthritis [94] and frozen shoulder [95]. This is the premise for performing transcatheter arterial embolization around the knee (Fig.12) and shoulder using antibiotic agents (Imipenem/cilastatin sodium) [94] or permanent embolic microspheres (100-75 µm) [96].…”

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

“…Histopathological studies have demonstrated the existence of abnormal vessels accompanying nerve fibers in tissues from various painful conditions, including osteoarthritis [94] and frozen shoulder [95]. This is the premise for performing transcatheter arterial embolization around the knee (Fig.12) and shoulder using antibiotic agents (Imipenem/cilastatin sodium) [94] or permanent embolic microspheres (100-75 µm) [96]. Imipenem/cilastatin sodium is an approved antibiotic and forms 10-70 µm insoluble particles when suspended in contrast, allowing for embolization of small vessels [94,97].…”

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

“…This is the premise for performing transcatheter arterial embolization around the knee (Fig.12) and shoulder using antibiotic agents (Imipenem/cilastatin sodium) [94] or permanent embolic microspheres (100-75 µm) [96]. Imipenem/cilastatin sodium is an approved antibiotic and forms 10-70 µm insoluble particles when suspended in contrast, allowing for embolization of small vessels [94,97]. Some authors consider it to be safer than the conventional microsphere embolic agents [94,97]…”

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

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The Pain Crisis: Interventional Radiology's Role in Pain Management

Fletcher

Moore

Stensby

et al. 2021

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

Section: Emerging Use Of Ablation and Embolization In The Knee And Shmentioning

confidence: 99%

See 2 more Smart Citations

The Pain Crisis: Interventional Radiology's Role in Pain Management

Fletcher

Moore

Stensby

et al. 2021

American Journal of Roentgenology

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show abstract

“…einer Woche nicht mehr zu erkennen war. Bei der Anwendung von permanenten Partikeln wurde über deutlich längeranhaltende Hautverfärbungen berichtet [4,7]. Im Fall eines Reflux könnten auch Non-Targeted-Embolisationen in die Akren nicht ausgeschlossen werden.…”

Section: Schlussfolgerung Diskussionunclassified

Transarterielle periartikuläre Embolisation (TAPE): klinischer Einsatz und erste Erfahrungen in Deutschland

Katoh

Schøtt

Freyhardt

et al. 2020

Rofo

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Ziel Anhand von Fallbeispielen sollen die Anwendungsmöglichkeiten, Technik und initialen Ergebnisse der transarteriellen periartikulären Embolisation (TAPE) dargestellt werden. Material und Methoden Die TAPE wurde bei 3 Patienten mit chronischen Schmerzen an unterschiedlichen Gelenken angewendet. Im ersten Fall lag eine aktivierte Arthrose des Schultergelenks, im zweiten Fall eine Epicondylitis humeri ulnaris („Golfer-Ellenbogen“) und im dritten Fall ein Patellaspitzensyndrom („Jumpers Knee“) vor. Ergebnisse Bei allen 3 Patienten konnte die TAPE technisch erfolgreich durchgeführt werden. Dabei wurden entweder durch einen transradialen oder transfemoralen Zugang die Endäste der entsprechenden Gelenkarterien superselektiv mittels Mikrokatheter sondiert und mit in Kontrastmittel aufgelöstem Imipenem/Cilastatin embolisiert. Postinterventionell kam es bei der Behandlung des Kniegelenks zu einer Hautrötung, die sich innerhalb einer Woche wieder zurückbildete. Weitere Komplikationen traten nicht auf. Bei allen Patienten zeigte sich bereits am ersten postoperativen Tag eine Linderung der Beschwerden, die anhand von klinischen Tests und der subjektiven Einschätzung der Schmerzen auf einer visuellen Analogskala dokumentiert werden konnte. Schlussfolgerung Die initialen Erfahrungen, die in unserer Klinik mit der TAPE gemacht werden konnten, sind ermutigend und zeigen, dass das Verfahren das Potenzial zur Erweiterung der gering invasiven Therapieoptionen bei Patienten mit therapierefraktären chronischen Gelenkschmerzen und Enthesiopathien hat. Kernaussagen

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Transarterial Embolization for the Treatment of Chronic Musculoskeletal Pain: A Systematic Review of Indications, Safety, and Efficacy

Kishore

Sheira

Malin

et al. 2021

ACR Open Rheumatology

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Objective. The study objective was to evaluate the safety and efficacy of transcatheter arterial "embolization" (TAE) in the treatment of chronic "musculoskeletal pain" refractory to standard therapy.Methods. PubMed, EMBASE, and Cochrane Central Register of Controlled Trials were searched for original research articles evaluating TAE in patients with musculoskeletal conditions from database inception to January 21, 2020. Search terms employed were as follows: "embolization", "pain", "knee osteoarthritis", joint replacement, epicondylitis, tenderness, inflammation, WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), microspheres, Embozene, geniculate artery, neovascularity, transcatheter, embolic, imipenem/cilastatin sodium, angiogenesis, and "musculoskeletal". Studies involving particle "embolization" for painful musculoskeletal conditions were included. Studies of TAE for hemarthrosis or malignancy-related "musculoskeletal pain" were excluded.Results. The primary search yielded 1,099 sources; 7 articles and 4 abstracts were included for data extraction. All were cohorts or case series, with low risk of bias and moderate to poor level of evidence. Heterogeneity between studies was high, precluding meta-analysis. The reviewed studies reported the safety and efficacy of TAE for the treatment of "knee osteoarthritis"; adhesive capsulitis of the shoulder; tendinopathy/enthesopathy of the knee, shoulder, elbow, and ankle; and cervical myalgia. All TAEs were reported as technically successful without major complications or subsequent serious adverse events, including no reported osteonecrosis, cutaneous ulceration, limb ischemia, cartilage degeneration, or myotendinous injury. TAE significantly reduced pain and improved function for all of the treated conditions, with durable response up to 24 months post procedure.Conclusion. TAE appears to be a safe and effective treatment for some types of chronic refractory "musculoskeletal pain". Randomized placebo-controlled studies are necessary to confirm these findings.

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Early Results of Transcatheter Arterial Embolization for Relief of Chronic Shoulder or Elbow Pain Associated with Tendinopathy Refractory to Conservative Treatment

Cited by 48 publications

References 25 publications

The Pain Crisis: Interventional Radiology's Role in Pain Management

The Pain Crisis: Interventional Radiology's Role in Pain Management

Transarterielle periartikuläre Embolisation (TAPE): klinischer Einsatz und erste Erfahrungen in Deutschland

Transarterial Embolization for the Treatment of Chronic Musculoskeletal Pain: A Systematic Review of Indications, Safety, and Efficacy

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