RESUMO
Introducción: La embolización de arterias geniculares emerge como una técnica innovadora para el tratamiento del dolor refractario en pacientes con osteoartrosis (OA) de rodilla. Se exponen los datos disponibles sobre su eficacia en pacientes con OA de rodilla y dolor persistente, como tratamiento alternativo o asociado a tratamiento farmacológico.MétodosRevisión según estándares PRISMA® sobre embolización de arterias geniculares y OA de rodilla.ResultadosSe analizaron 13 publicaciones según criterios de inclusión, de un total de 63 estudios obteniendo datos de 914 pacientes. Las indicaciones de embolización se realizaron en pacientes con dolor crónico severo refractario a tratamiento conservador y con OA de rodilla moderada a severa. Solo se han reportado complicaciones menoresConclusiónLa embolización de arterias geniculares es una alternativa posible y potencialmente muy eficaz en el tratamiento del dolor articular crónico en pacientes con OA de rodilla, y sin complicaciones graves descritas. Todos los estudios concluyen a su favor en el tratamiento del dolor articular en estos pacientes. (AU)
Background: Genicular artery embolization emerges as an innovative technique described for the treatment of refractory pain in patients with knee osteoarthritis. This review summarizes the available data on the efficacy of genicular artery embolization in patients with knee osteoarthritis (OA) and refractory pain as an alternative treatment or associated with pharmacological treatment.MethodsReview according to PRISMA® standards on genicular artery embolization and knee osteoarthritis.ResultsThirteen publications out of a total of 63 studies reporting data from 914 patients were analyzed according to inclusion criteria. The indication of embolization was performed in patients with severe chronic pain refractory to conservative treatment and moderate-to-severe knee OA. Only minor complications have been reported.ConclusionGenicular artery embolization is a possible and potentially very effective alternative in the treatment of chronic refractory pain in patients with knee OA, without serious complications. All studies conclude in favor of embolization of the genicular arteries in the treatment of chronic refractory pain in patients with knee OA. (AU)
Assuntos
Humanos , Artérias , Dor Crônica/etiologia , Dor Crônica/terapia , Articulação do Joelho , Osteoartrite do Joelho/complicações , Osteoartrite do Joelho/terapia , Dor Intratável/complicações , Resultado do TratamentoRESUMO
BACKGROUND: Genicular artery embolization emerges as an innovative technique described for the treatment of refractory pain in patients with knee osteoarthritis. This review summarizes the available data on the efficacy of genicular artery embolization in patients with knee osteoarthritis (OA) and refractory pain as an alternative treatment or associated with pharmacological treatment. METHODS: Review according to PRISMA® standards on genicular artery embolization and knee osteoarthritis. RESULTS: Thirteen publications out of a total of 63 studies reporting data from 914 patients were analyzed according to inclusion criteria. The indication of embolization was performed in patients with severe chronic pain refractory to conservative treatment and moderate-to-severe knee OA. Only minor complications have been reported. CONCLUSION: Genicular artery embolization is a possible and potentially very effective alternative in the treatment of chronic refractory pain in patients with knee OA, without serious complications. All studies conclude in favor of embolization of the genicular arteries in the treatment of chronic refractory pain in patients with knee OA.
