Genicular Artery Embolization

Posted by kzeiss @kzeiss, Jul 29 8:00am

Has anyone had Genicular Artery Embolization? My pain doctor yesterday suggested it in place of a TKR. I have a knee which is "bone on bone" right now.

Thanks for any insights or suggestions.

Interested in more discussions like this? Go to the Bones, Joints & Muscles Support Group.

When you get more info would you mind sharing? My left knee has no cartilage left and so far strengthening my legs is the thing that helps. I'm trying to avoid another tkr at my age 78 even though it was successful. Thanks in advance.
Should have looked first. Says it is for relief of osteoarthritis.

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Arthitis Knee Pain Center also recommended that i have this procedure. Their doctor does the less invasive method. Instead of going into the artery in the groin under anesthesia, the doctor goes into the artery of the ankle to perform the procedure. There is no anesthesia involved. They locally numb the area. Because I have so many other medical challenges, it was something I put on the back burner. However, as my knees are getting worse, I am reconsidering the possibility of going through with this procedure. What Genicular Artery Embolization does is by injecting microscopic beads they block the tiny blood vessels that cause chronic inflammation that can result in nerve pain.

Through research, I discovered that 20% of all knee replacement patients end up with chronic inflammation/nerve pain that requires this procedure. I hope this information helps in your decisions.

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Be mindful of this procedure, if successful, doesn’t last. Was informed by the Interventional Radiology group that has a specialist in this procedure (4 years of post TKR and my knees are inflamed producing excess synovial fluid). So looking at this being a repeat procedure in 6-8 months. Risks besides normal risks with this procedure some of the “beads” have the possibility of missing their target flowing to blood vessels in the lower leg and ankles. Being a temporary fix and risk of causing foot issues I decided I wasn’t a good candidate

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Profile picture for clark1955 @clark1955

Be mindful of this procedure, if successful, doesn’t last. Was informed by the Interventional Radiology group that has a specialist in this procedure (4 years of post TKR and my knees are inflamed producing excess synovial fluid). So looking at this being a repeat procedure in 6-8 months. Risks besides normal risks with this procedure some of the “beads” have the possibility of missing their target flowing to blood vessels in the lower leg and ankles. Being a temporary fix and risk of causing foot issues I decided I wasn’t a good candidate

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@clark1955 Yes, I am aware it lasts anywhere from six months to three years.

Thank you for the information regarding risks. I have been on hylauronic acid injections for ovr 10 years. My knees are in very bad shape and quite painful. Especially the nerve on the outer side of the calves. However, even a Jiffyknee surgery is a risk. Especially, in my case, I have bad veins. Even with an ultrasound, there is hardly a vein that can be used for a blood draw. I am highly allergic to oral pain meds, have neuropathy, inoperable degenerative neck disease and other inflamatory/immune disorders. These are the reasons I have not had both knees replaced and a back surgery. Because of other multiple chronic conditions not mentioned, I am also considered high risk. I was hoping the Genicular Artery Embolization would be the answer. Now I'm not so sure.

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Profile picture for curlylocks7 @curlylocks7

@clark1955 Yes, I am aware it lasts anywhere from six months to three years.

Thank you for the information regarding risks. I have been on hylauronic acid injections for ovr 10 years. My knees are in very bad shape and quite painful. Especially the nerve on the outer side of the calves. However, even a Jiffyknee surgery is a risk. Especially, in my case, I have bad veins. Even with an ultrasound, there is hardly a vein that can be used for a blood draw. I am highly allergic to oral pain meds, have neuropathy, inoperable degenerative neck disease and other inflamatory/immune disorders. These are the reasons I have not had both knees replaced and a back surgery. Because of other multiple chronic conditions not mentioned, I am also considered high risk. I was hoping the Genicular Artery Embolization would be the answer. Now I'm not so sure.

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@curlylocks7
So sorry to hear about your many challenges. We are all always looking for that medical breakthrough that will help or end our pain. I have received the most information on this procedure from this group.
As doctors either can’t, won’t or choose not to reveal all of the pros and cons, this group is a true blessing.
I know we do not have all the answers but with each other’s support, we can ask the right questions and make more informed decisions. All positive thoughts to everyone who contributed to this thread. thank you so much!

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