Angioembolization in the management of joint pain: current concepts

被引:0
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作者
Jeyaraman, Naveen [1 ]
Migliorini, Filippo [2 ,9 ]
Ramkumar, Varunkumar [3 ]
Ramasubramanian, Swaminathan [4 ]
Patro, Bishnu Prasad [5 ]
Maffulli, Nicola [6 ,7 ,8 ]
Jeyaraman, Madhan [1 ]
机构
[1] ACS Med Coll & Hosp, Dr MGR Educ & Res Inst, Dept Orthopaed, Chennai, India
[2] Acad Hosp Bolzano SABES ASDAA, Dept Orthopaed & Trauma Surg, Bolzano, Italy
[3] Madurai Med Coll & Hosp, Dept Orthopaed, Madurai 625020, Tamil Nadu, India
[4] Govt Med Coll, Dept Orthopaed, Omandurar Govt Estate, Chennai, India
[5] All India Inst Med Sci, Dept Orthopaed, Bhubaneswar, India
[6] Univ Roma La Sapienza, Fac Med & Psychol, Dept Trauma & Orthopaed Surg, I-00185 Rome, Italy
[7] Keele Univ, Fac Med & Hlth Sci, Sch Pharm & Bioengn, Stoke on Trent, England
[8] Queen Mary Univ London, Mile End Hosp, Ctr Sports & Exercise Med, Barts & London Sch Med & Dent, London E1 4DG, England
[9] Link Campus Univ, Dept Life Sci Hlth & Hlth Profess, Rome, Italy
来源
ORTHOPADIE | 2024年 / 53卷 / 09期
关键词
Mechanism; Clinical studies; Comparative analysis; Safety; Efficacy; Mechanismus; Klinische Studien; Vergleichende Analyse; Sicherheit; Wirksamkeit; TRANSCATHETER ARTERIAL EMBOLIZATION; KNEE OSTEOARTHRITIS; IMIPENEM/CILASTATIN SODIUM; CLINICAL-OUTCOMES; TENDINOPATHY; DISABILITY; SYNOVITIS; RESISTANT; RISK; HIP;
D O I
10.1007/s00132-024-04531-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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. Gelenkschmerzen sind ein weit verbreitetes Beschwerdebild, das seinen Ursprung in entz & uuml;ndlichen und degenerativen Gelenkerkrankungen hat. Durch aktuelle Forschungen konnte die unangemessene Angiogenese als eine der Ursachen ausgemacht werden. Die Angioembolisation hat sich bei Nichtansprechen auf eine konservative Therapie als Behandlungsoption f & uuml;r diese Erkrankung herauskristallisiert. In dieser & Uuml;bersichtsarbeit wird die Angioembolisation beschrieben, indem der Mechanismus, die Sicherheit, die Wirksamkeit, die vergleichende Analyse der Behandlung und der weitere Weg erl & auml;utert und die vorhandenen Daten zu dieser Behandlung zusammengefasst werden. Die Ergebnisse dieser & Uuml;bersichtsarbeit untermauern die Bedeutung der transkathetergest & uuml;tzten arteriellen Embolisation als eine der wichtigsten Optionen f & uuml;r die Behandlung von Gelenkschmerzen, die auf eine konservative Therapie nicht ansprechen, und bezeichnen sie als einen der bedeutungsvollsten Ans & auml;tze. Eine Einschr & auml;nkung dieses Reviews ist, dass die meisten Daten aus offenen Fallserien oder Fallberichten stammen.
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收藏
页码:688 / 697
页数:10
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