6-Month Follow-up of Lateral Femoral Circumflex Artery Embolization to Control Pain Related to Hip Osteoarthritis and Greater Trochanteric Pain Syndrome

Mateus Picada Correa; Joaquim M. Motta-Leal-Filho; Eduardo Bervian Junior; Rodolfo Marques Mansano; Julia Succolotti Deuschle; Renan Camargo Puton; Jaber Nashat de Souza Saleh; Rafael Stevan Noel; Julio Cesar Bajerski

doi:10.1007/s00270-022-03253-5

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6-Month Follow-up of Lateral Femoral Circumflex Artery Embolization to Control Pain Related to Hip Osteoarthritis and Greater Trochanteric Pain Syndrome

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6-Month Follow-up of Lateral Femoral Circumflex Artery Embolization to Control Pain Related to Hip Osteoarthritis and Greater Trochanteric Pain Syndrome

Mateus Picada Correa, Joaquim M. Motta-Leal-Filho, Eduardo Bervian Junior, Rodolfo Marques Mansano, Julia Succolotti Deuschle, Renan Camargo Puton, Jaber Nashat de Souza Saleh, Rafael Stevan Noel and Julio Cesar Bajerski

Cardiovascular and interventional radiology, Vol.45(11), pp.1710-1715

11/01/2022

DOI: 10.1007/s00270-022-03253-5

PMID: 36002538

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https://pmc.ncbi.nlm.nih.gov/articles/PMC9401195/View

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Abstract

Purpose To present the preliminary results of a cohort of 13 patients with hip osteoarthritis (OA) and great trochanteric pain syndrome (GTPS) refractory to conservative management or physical therapy and no indication for surgery treated with embolization of the lateral femoral circumflex artery. Material and Methods This is a single-center prospective cohort from July 2019 to September 2020. Visual analogue scale (VAS) and Western Ontario and MacMaster Universities (WOMAC) were used to compare the symptoms before and after 6-month follow-up. Technical success was considered when at least one artery responsible for the hyperemic synovium was embolized. Complications and adverse events were noted. Results In total, 13 patients were included; mean age was 62.4 (± 11.0) years. 10 (76.9%) patients were treated for GTPS and 3 (23.1%) for hip OA. Nine patients were treated with imipenem/cilastatin (I/C) alone. Microsphere 100–300 μm and I/C were combined in 4 patients. The WOMAC Index had a statistically significant decrease in the total from 77 to 27 points (p = 0.001). Pain, rigidity and physical activity have also significantly reduced (19 to 5, p = 0.001; 6 to 2, p = 0.002 and 53 to 22, p = 0.001, respectively). VAS score had a significant decrease (10 to 2, p = 0.002). Two patients present posterior tight numbness, spontaneously improved within 30 days. Conclusion In this cohort, lateral femoral circumflex artery embolization was a safe and effective treatment for patients with hip pain due to OA and GTPS.

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Title: Subtitle: 6-Month Follow-up of Lateral Femoral Circumflex Artery Embolization to Control Pain Related to Hip Osteoarthritis and Greater Trochanteric Pain Syndrome
Creators: Mateus Picada Correa - Universidade de Passo Fundo
Joaquim M. Motta-Leal-Filho - Instituto do Coração (InCor), School of Medicine, Universidade de São Paulo (USP), São Paulo, Brazil
Eduardo Bervian Junior - Clínica Kozma, Passo Fundo, Brazil
Rodolfo Marques Mansano - Excelência Vascular, Londrina, Brazil
Julia Succolotti Deuschle - Universidade de Passo Fundo
Renan Camargo Puton - Universidade de Passo Fundo
Jaber Nashat de Souza Saleh - Universidade de Passo Fundo
Rafael Stevan Noel - Universidade de Passo Fundo
Julio Cesar Bajerski - Universidade de Passo Fundo
Resource Type: Journal article
Publication Details: Cardiovascular and interventional radiology, Vol.45(11), pp.1710-1715
DOI: 10.1007/s00270-022-03253-5
PMID: 36002538
NLM abbreviation: Cardiovasc Intervent Radiol
ISSN: 0174-1551
eISSN: 1432-086X
Number of pages: 6
Language: English
Date published: 11/01/2022
Academic Unit: Radiology
Record Identifier: 9985182280202771

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