Technically Successful Geniculate Artery Embolization Does Not Equate Clinical Success for Treatment of Recurrent Knee Hemarthrosis after Knee Surgery

Journal of Vascular and Interventional Radiology : JVIR
Carlos J GuevaraMichael D Darcy

Abstract

To evaluate technical details, clinical outcomes, and complications in patients undergoing geniculate artery embolization for treatment of spontaneous hemarthrosis after knee surgery. During 2009-2014, 10 consecutive patients (seven women; mean age, 57.4 y) underwent geniculate artery embolization at a single tertiary care center. All patients except one had hemarthrosis after total knee replacement (TKR). One patient presented with hemarthrosis after cartilage surgery. Two patients in the TKR group had a history of TKR revisions before the embolization. Embolization was performed with polyvinyl alcohol particles (range, 300-700 µm). In one patient requiring repeat embolization, N-butyl cyanoacrylate/ethiodized oil was used. The endpoint for embolization was stasis in the target artery and elimination of the hyperemic blush. In 10 patients, 14 embolizations were performed with 100% technical success. Hemarthrosis resolved in six patients. Four patients required repeat embolization for recurrent hemarthrosis, which subsequently resolved in two of four patients. Three of the four patients who required repeat embolization had serious comorbidities, either blood dyscrasias or therapeutic anticoagulation. There were two minor skin c...Continue Reading

References

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Mar 18, 2003·Joint, Bone, Spine : Revue Du Rhumatisme·T T PhamM Soubrier
Jan 11, 2008·Cardiovascular and Interventional Radiology·M F GivenK R Thomson
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Feb 26, 2013·Journal of Vascular and Interventional Radiology : JVIR·Sandeep BaglaArletta van Breda

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Citations

Jun 25, 2016·Journal of Vascular and Interventional Radiology : JVIR·Mark Edward OgilvieEric J Hohenwalter
Jan 25, 2020·The Cochrane Database of Systematic Reviews·Kelly FoleyDenny John
Nov 7, 2019·Cardiovascular and Interventional Radiology·Srinidhi ShanmugasundaramPratik A Shukla
May 24, 2019·The British Journal of Dermatology·A K GuptaV Piguet
Feb 6, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Bheeshma RaviMark Spangehl
Mar 25, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Stephen P PowerAndrew A Common
Aug 31, 2020·CVIR Endovascular·Richard PowChris Rogan
Nov 25, 2016·Cardiovascular and Interventional Radiology·Marcin K KolberJames E Silberzweig
Dec 31, 2019·Case Reports in Orthopedics·Cristian BarrientosJaime Hinzpeter
May 8, 2021·Journal of Vascular and Interventional Radiology : JVIR·Joshua Cornman-HomonoffDavid W Trost

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