Symptomatic Efficacy of Microparticle Arterial Embolization in Knee Osteoarthritis Resistant to Medical Treatment

Ki vehet részt

• An effective contraceptive system for women of childbearing age, a pregnancy test will be offered to these women in the preoperative assessment
• Obtaining the signature of the consent to participate in the study
• Kellgren-Lawrence (KL) grade 2-3 assessed by routine weight-bearing knee radiographs on the most affected knee in bilateral cases
• Pain with EVA ≥ 50 mm evolving for at least 3 months despite the start of a well-conducted medical treatment according to current recommendations including analgesics, NSAID, intra-articular injections, rehabilitation and weight loss
• No surgical indication retained

Ki nem vehet részt

• Serious visceral failure
• Local infection
• History of surgery on the studied knee, except arthroscopy for more than 6 months
• Allergy to contrast products
• Chronic or acute renal failure (clearance <30 ml / min)
• Haemostasis disorders (blood platelet count <50,000 / mm3 or patient ACT / control ACT> 1,2 or PT <50%)
• Arthropathy secondary to chronic inflammatory rheumatism (rheumatoid arthritis, spondylarthritis) or microcrystalline rheumatism
• Gonarthrosis with KL score> 3
• Osteonecrosis of one of the bones of the knee joint on the MRI
• Pregnant or lactating woman
• Operative indication of placement of a prosthesis