<p>Genicular artery embolization (GAE) has emerged as a safe and encouraging minimally invasive treatment option for patients with chronic knee osteoarthritis (OA) who have failed conventional therapies. This technical report describes a standardized imaging and embolization protocol developed at a single institution, based on over 250 procedures. The technique integrates sheathless femoral access, routine use of cone-beam computed tomography (CBCT) with advanced embolization planning and guidance software, and a selective embolization strategy using resorbable or permanent agents. Procedures are performed in an outpatient setting, with same-day discharge and routine post-procedural physical therapy. The method described emphasizes safety, reproducibility, and precision, and provides a potential framework for broader standardization in GAE.</p>

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Standardized angiographic workflow and technique for genicular artery embolization

  • Seyed A. Astani,
  • Amanda Oliveira,
  • Brandon Matty,
  • Jafar Golzarian

摘要

Genicular artery embolization (GAE) has emerged as a safe and encouraging minimally invasive treatment option for patients with chronic knee osteoarthritis (OA) who have failed conventional therapies. This technical report describes a standardized imaging and embolization protocol developed at a single institution, based on over 250 procedures. The technique integrates sheathless femoral access, routine use of cone-beam computed tomography (CBCT) with advanced embolization planning and guidance software, and a selective embolization strategy using resorbable or permanent agents. Procedures are performed in an outpatient setting, with same-day discharge and routine post-procedural physical therapy. The method described emphasizes safety, reproducibility, and precision, and provides a potential framework for broader standardization in GAE.