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膝动脉栓塞治疗复发性关节积血:一例报告

Genicular artery embolization for recurrent hemarthrosis: A case report.

作者信息

Salm Samr Adnan Abdaljabbar Al, Alzubaidi Ali Hadi Abd, Leusink Robert Johannes

机构信息

Department of Orthopedic Surgery, Aalborg University Hospital, Aalborg, North Jutland, Denmark.

Department of Radiology, Aalborg University Hospital, Aalborg, North Jutland, Denmark.

出版信息

Radiol Case Rep. 2024 Mar 22;19(6):2337-2342. doi: 10.1016/j.radcr.2024.02.077. eCollection 2024 Jun.

Abstract

A 44-year-old otherwise healthy male with a history of trauma and surgical interventions in his right knee presented to the emergency department with repeated hemarthrosis of the right knee. The patient underwent blood tests, X-rays, and magnetic resonance imaging of the knee. A computed tomography angiography revealed blushing of the synovium of the knee. The patient underwent successful embolization of the genicular artery branches. Hemarthrosis did not recur. The use of genicular artery embolization, in our case, not only successfully addressed recurrent hemarthrosis but also underscores its emerging role in comprehensive patient management. This minimally invasive approach, precisely targeting the vascular supply to the affected synovium, offers an effective alternative where conventional therapies may fall short. Beyond symptom relief, it holds promise for preventing hemarthrosis recurrence, a valuable addition to clinicians' interventions for challenging knee joint bleeding cases. Further investigation in larger cohorts and comparative studies may reveal its broader applicability and long-term efficacy, shaping treatment options for recurrent hemarthrosis.

摘要

一名44岁的男性,身体健康,右膝有创伤和手术史,因右膝反复出现关节积血而到急诊科就诊。患者接受了血液检查、X线检查及膝关节磁共振成像检查。计算机断层血管造影显示膝关节滑膜充血。患者接受了膝动脉分支的成功栓塞。关节积血未再复发。在我们的病例中,膝动脉栓塞术的应用不仅成功解决了复发性关节积血问题,还凸显了其在患者综合管理中日益重要的作用。这种微创方法精确地针对受影响滑膜的血管供应,在传统疗法可能不足时提供了一种有效的替代方案。除了缓解症状外,它还有望预防关节积血复发,这是临床医生治疗具有挑战性的膝关节出血病例的一项有价值的补充干预措施。在更大规模的队列研究和比较研究中进一步调查,可能会揭示其更广泛的适用性和长期疗效,从而为复发性关节积血塑造治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0788/10963894/27cc37efba79/gr1.jpg

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