Angioembolization in the management of joint pain: current concepts.

IF 0.5 Orthopadie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI:10.1007/s00132-024-04531-5
Naveen Jeyaraman, Filippo Migliorini, Varunkumar Ramkumar, Swaminathan Ramasubramanian, Bishnu Prasad Patro, Nicola Maffulli, Madhan Jeyaraman
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Abstract

Joint pain is a common complaint owing to its origin in inflammatory and degenerative joint diseases. Recent research has helped narrow down inadequate angiogenesis as one of the causes. Angioembolization has emerged as a treatment option for this condition when it is refractory to conservative treatment. This review describes angioembolization by elaborating on the mechanism, safety, efficacy, comparative analysis of treatment and the road ahead, in addition to summarizing the existing data on this treatment. The inferences from this review further consolidate transcatheter arterial embolization as one of the prime options for managing joint pain when it is refractory to conservative treatment and label it as one of the most exciting prospects. A limitation of this review is that most of the data were from open label case series or case reports.

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血管栓塞治疗关节疼痛:当前概念。
关节疼痛是一种常见的主诉,其根源在于炎症性和退行性关节疾病。最近的研究有助于缩小血管生成不足的病因范围。在保守治疗无效的情况下,血管栓塞术成为治疗这种疾病的一种选择。本综述对血管栓塞术进行了描述,详细阐述了该疗法的机制、安全性、疗效、治疗对比分析和未来发展方向,并总结了该疗法的现有数据。本综述的推论进一步巩固了经导管动脉栓塞术作为保守治疗无效时治疗关节疼痛的主要选择之一,并将其视为最令人兴奋的前景之一。本综述的局限性在于,大部分数据来自开放标签病例系列或病例报告。
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