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肌肉骨骼介入治疗:膝动脉栓塞术综述

Musculoskeletal Interventions: A Review on Genicular Artery Embolization.

作者信息

Sajan Abin, Bagla Sandeep, Isaacson Ari

机构信息

Department of Radiology, Columbia University Irving Medical Center, New York, New York.

Vascular Interventional Partners - NOVA, Falls Church, Virginia.

出版信息

Semin Intervent Radiol. 2021 Nov 24;38(5):511-514. doi: 10.1055/s-0041-1736529. eCollection 2021 Dec.

DOI:10.1055/s-0041-1736529
PMID:34853495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8612839/
Abstract

Symptomatic knee pain is one of the most common joint diseases that affects millions of people worldwide. The treatment for knee pain secondary to osteoarthritis (OA) begins with conservative therapy and progresses to surgical intervention when conservative therapy fails. Genicular artery embolization (GAE) offers an alternative option for patients who are poor surgical candidates. Multiple studies have been conducted worldwide demonstrating the safety and efficacy of GAE in patients with mild to moderate OA. The purpose of this article is to describe the current literature on GAE and highlight the latest findings from a randomized controlled trial comparing GAE versus sham embolization.

摘要

症状性膝关节疼痛是影响全球数百万人的最常见关节疾病之一。骨关节炎(OA)继发的膝关节疼痛治疗始于保守治疗,当保守治疗失败时进展为手术干预。膝动脉栓塞术(GAE)为手术候选不佳的患者提供了一种替代选择。全球已进行多项研究,证明GAE对轻至中度OA患者的安全性和有效性。本文的目的是描述关于GAE的当前文献,并强调一项比较GAE与假栓塞术的随机对照试验的最新发现。

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1
Musculoskeletal Interventions: A Review on Genicular Artery Embolization.肌肉骨骼介入治疗:膝动脉栓塞术综述
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J Pers Med. 2024 Jun 26;14(7):686. doi: 10.3390/jpm14070686.
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Genicular Artery Embolization for Primary Knee Osteoarthritis.膝部动脉栓塞术治疗原发性膝关节骨关节炎
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本文引用的文献

1
Multicenter Randomized Sham Controlled Study of Genicular Artery Embolization for Knee Pain Secondary to Osteoarthritis.多中心随机假手术对照研究:膝关节炎性膝痛的关节内动脉栓塞治疗。
J Vasc Interv Radiol. 2022 Jan;33(1):2-10.e2. doi: 10.1016/j.jvir.2021.09.019. Epub 2021 Oct 2.
2
Genicular artEry embolizatioN in patiEnts with oSteoarthrItiS of the Knee (GENESIS) Using Permanent Microspheres: Interim Analysis.膝关节骨关节炎患者的关节内动脉栓塞术(GENESIS)使用永久性微球:中期分析。
Cardiovasc Intervent Radiol. 2021 Jun;44(6):931-940. doi: 10.1007/s00270-020-02764-3. Epub 2021 Jan 20.
3
Non-neoplastic Disease Outside the Spine-Genicular Artery Embolization and Adhesive Capsulitis Embolization.关节囊外分支动脉栓塞术治疗非肿瘤性脊柱疾病和黏连性肩关节囊炎。
Tech Vasc Interv Radiol. 2020 Dec;23(4):100702. doi: 10.1016/j.tvir.2020.100702. Epub 2020 Oct 14.
4
Genicular Artery Embolization for Osteoarthritis Related Knee Pain: A Systematic Review and Qualitative Analysis of Clinical Outcomes.关节内动脉栓塞治疗膝关节骨关节炎相关疼痛:临床结局的系统评价和定性分析。
Cardiovasc Intervent Radiol. 2021 Jan;44(1):1-9. doi: 10.1007/s00270-020-02687-z. Epub 2020 Nov 1.
5
Genicular Artery Embolization to Improve Pain and Function in Early-Stage Knee Osteoarthritis-24-Month Pilot Study Results.膝下动脉栓塞术改善早期膝关节骨关节炎疼痛和功能——24个月的初步研究结果
J Vasc Interv Radiol. 2020 Sep;31(9):1453-1458. doi: 10.1016/j.jvir.2020.05.007.
6
Genicular Artery Embolization for the Treatment of Knee Pain Secondary to Osteoarthritis.膝下动脉栓塞术治疗骨关节炎继发的膝关节疼痛
J Vasc Interv Radiol. 2020 Jul;31(7):1096-1102. doi: 10.1016/j.jvir.2019.09.018. Epub 2019 Dec 16.
7
Geniculate Artery Embolization in Patients With Recurrent Hemarthrosis After Knee Arthroplasty: A Retrospective Study.膝关节置换术后复发性关节积血患者的关节动脉栓塞术:一项回顾性研究。
J Arthroplasty. 2020 Feb;35(2):550-556. doi: 10.1016/j.arth.2019.09.014. Epub 2019 Sep 16.
8
Clinical Outcomes of Transcatheter Arterial Embolisation for Chronic Knee Pain: Mild-to-Moderate Versus Severe Knee Osteoarthritis.经导管动脉栓塞治疗慢性膝关节疼痛的临床疗效:轻度至中度与重度膝关节骨关节炎。
Cardiovasc Intervent Radiol. 2019 Nov;42(11):1530-1536. doi: 10.1007/s00270-019-02289-4. Epub 2019 Jul 23.
9
Treatment of Recurrent Hemarthrosis after Total Knee Arthroplasty.全膝关节置换术后复发性关节积血的治疗
Knee Surg Relat Res. 2018 Jun 1;30(2):147-152. doi: 10.5792/ksrr.17.059.
10
Embolization of the Geniculate Arteries Is an Effective Treatment of Recurrent Hemarthrosis Following Total Knee Arthroplasty That Can Be Safely Repeated.吻合支动脉栓塞术是治疗全膝关节置换术后反复关节积血的有效方法,且可安全重复进行。
J Arthroplasty. 2018 Apr;33(4):1177-1180.e1. doi: 10.1016/j.arth.2017.11.002. Epub 2017 Nov 24.