Download PDF
Radiologie up2date 2023; 23(03): 249-261
DOI: 10.1055/a-2038-0903
Interventionelle Radiologie

Transarterielle periartikuläre Embolisation (TAPE): klinischer Einsatz und aktuelle Entwicklungen

Transcatheter Periarticular Arterial Embolization – Clinical Application and Current Developments
Patrick Freyhardt
,
Marcus Katoh
› Further Information
Also available at
    Permissions and Reprints All articles of this category

Zusammenfassung

Obwohl bei der transarteriellen periartikulären Embolisation (TAPE) noch viele Aspekte erforscht werden müssen, findet sie eine zunehmende Verbreitung und Akzeptanz bei der Behandlung von Gelenkschmerzen. Diese Arbeit stellt den aktuellen Stand vor, benennt mögliche Indikationen, beschreibt die interventionelle Technik und fasst die in der Literatur verfügbaren Ergebnisse zusammen.

Abstract

Although many aspects of transarterial periarticular embolization (TAPE) still need to be researched, it is gaining increasing popularity and acceptance in the treatment of chronic joint pain. This article presents an overview of the current state and summarizes available results in the literature. The interventional technique is described and potential indications are identified.

Kernaussagen

  • Inflammatorische Prozesse mit Ausbildung pathologischer Gefäße und Nerven spielen eine wichtige Rolle bei der Genese chronischer degenerativer und entzündlicher Gelenkveränderungen.

  • Die transarterielle periartikuläre Embolisation (TAPE) ist eine neue, vielversprechende Möglichkeit für die Behandlung chronischer therapieresistenter Gelenkbeschwerden.

  • Das Spektrum möglicher zu behandelnder Veränderungen und Erkrankungen ist sehr breit und reicht von enthesiopathisch bedingten Schmerzen über arthrotische Beschwerden bis hin zu postoperativen Komplikationen (wie die Arthrofibrose nach TEP).

  • In mehreren Studien wurde die TAPE als effektives und sicheres Verfahren für eine Vielzahl von Gelenken mit unterschiedlichen Pathologien bestätigt.

  • Die TAPE wird aktuell sowohl mit temporären also auch permanenten Partikeln/Embolisation durchgeführt.

  • Randomisierte Scheineingriffsstudien liegen derzeit nur für das Kniegelenk vor. Weitere Studien mit Hinblick auf Effektivität und Evaluierung von Methodik und Technik sind nötig.

Schlüsselwörter

Transarterielle periartikuläre Embolisation

Key words

Transcatheter periarticular arterial embolization


Publication History

Article published online:
01 September 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Waldenberger P, Chemelli A, Hennerbichler A. et al. Transarterial embolization for the management of hemarthrosis of the knee. Eur J Radiol 2012; 81: 2737-2740
    CrossrefPubMedSearch in Google Scholar
  • 2 Okuno Y, Korchi AM, Shinjo T. et al. Transcatheter arterial embolization as a treatment for medial knee pain in patients with mild to moderate osteoarthritis. Cardiovasc Intervent Radiol 2015; 38: 336-343
    CrossrefPubMedSearch in Google Scholar
  • 3 Okuno Y, Matsumura N, Oguro S. Transcatheter arterial embolization using imipenem/cilastatin sodium for tendinopathy and enthesopathy refractory to nonsurgical management. J Vasc Interv Radiol 2013; 24: 787-792
    CrossrefPubMedSearch in Google Scholar
  • 4 Costa C, Incio J, Soares R. Angiogenesis and chronic inflammation: cause or consequence?. Angiogenesis 2007; 10: 149-166
    CrossrefPubMedSearch in Google Scholar
  • 5 Bonnet CS, Walsh DA. Osteoarthritis, angiogenesis and inflammation. Rheumatology (Oxford) 2005; 44: 7-16
    CrossrefPubMedSearch in Google Scholar
  • 6 Mapp PI, Walsh DA. Mechanisms and targets of angiogenesis and nerve growth in osteoarthritis. Nat Rev Rheumatol 2012; 8: 390-398
    CrossrefPubMedSearch in Google Scholar
  • 7 Fortier LA, Nixon AJ. Distributional changes in substance P nociceptive fiber patterns in naturally osteoarthritic articulations. J Rheumatol 1997; 24: 524-530
    PubMedSearch in Google Scholar
  • 8 Perrot S, Guilbaud G. Pathophysiology of joint pain. Rev Rhum Engl Ed 1996; 63: 485-492
    PubMedSearch in Google Scholar
  • 9 Hwang JH, Park SW, Kim KH. et al. Early Results of Transcatheter Arterial Embolization for Relief of Chronic Shoulder or Elbow Pain Associated with Tendinopathy Refractory to Conservative Treatment. J Vasc Interv Radiol 2018; 29: 510-517
    CrossrefPubMedSearch in Google Scholar
  • 10 Okuno Y, Iwamoto W, Matsumura N. et al. Clinical Outcomes of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment. J Vasc Interv Radiol 2017; 28: 161-167 e161
    CrossrefPubMedSearch in Google Scholar
  • 11 Woodley SJ, Nicholson HD, Livingstone V. et al. Lateral hip pain: findings from magnetic resonance imaging and clinical examination. J Orthop Sports Phys Ther 2008; 38: 313-328
    CrossrefPubMedSearch in Google Scholar
  • 12 Bagla S, Piechowiak R, Sajan A. et al. Multicenter Randomized Sham Controlled Study of Genicular Artery Embolization for Knee Pain Secondary to Osteoarthritis. J Vasc Interv Radiol 2022; 33: 2-10 e12
    CrossrefPubMedSearch in Google Scholar
  • 13 Hacking N, Maclean D, Vigneswaran G. et al. Uterine Fibroid Embolization (UFE) with Optisphere: A Prospective Study of a New, Spherical, Resorbable Embolic Agent. Cardiovasc Intervent Radiol 2020; 43: 897-903
    CrossrefPubMedSearch in Google Scholar
  • 14 Hindso L, Riis RGC, Holmich P. et al. Current Status of Trans-Arterial Embolization in Pain Management of Musculoskeletal Inflammatory Conditions – An Evidence-Based Review. Cardiovasc Intervent Radiol 2021; 44: 1699-1708
    CrossrefPubMedSearch in Google Scholar
  • 15 Padia SA, Genshaft S, Blumstein G. et al. Genicular Artery Embolization for the Treatment of Symptomatic Knee Osteoarthritis. JB JS Open Access 2021; 6
    CrossrefPubMedSearch in Google Scholar
  • 16 McAlindon TE, Bannuru RR, Sullivan MC. et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22: 363-388
    CrossrefPubMedSearch in Google Scholar
  • 17 Vaishya R, Pariyo GB, Agarwal AK. et al. Non-operative management of osteoarthritis of the knee joint. J Clin Orthop Trauma 2016; 7: 170-176
    CrossrefPubMedSearch in Google Scholar
  • 18 Wehling P, Evans C, Wehling J. et al. Effectiveness of intra-articular therapies in osteoarthritis: a literature review. Ther Adv Musculoskelet Dis 2017; 9: 183-196
    CrossrefPubMedSearch in Google Scholar
  • 19 Kompel AJ, Roemer FW, Murakami AM. et al. Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?. Radiology 2019; 293: 656-663
    CrossrefPubMedSearch in Google Scholar
  • 20 Jevsevar D, Donnelly P, Brown GA. et al. Viscosupplementation for Osteoarthritis of the Knee: A Systematic Review of the Evidence. J Bone Joint Surg Am 2015; 97: 2047-2060
    CrossrefPubMedSearch in Google Scholar
  • 21 Ali M, Oderuth E, Atchia I. et al. The use of platelet-rich plasma in the treatment of greater trochanteric pain syndrome: a systematic literature review. J Hip Preserv Surg 2018; 5: 209-219
    CrossrefPubMedSearch in Google Scholar
  • 22 Bagla S, Piechowiak R, Hartman T. et al. Genicular Artery Embolization for the Treatment of Knee Pain Secondary to Osteoarthritis. J Vasc Interv Radiol 2020; 31: 1096-1102
    CrossrefPubMedSearch in Google Scholar
  • 23 Lee SH, Hwang JH, Kim DH. et al. Clinical Outcomes of Transcatheter Arterial Embolisation for Chronic Knee Pain: Mild-to-Moderate Versus Severe Knee Osteoarthritis. Cardiovasc Intervent Radiol 2019; 42: 1530-1536
    CrossrefPubMedSearch in Google Scholar
  • 24 Little MW, Gibson M, Briggs J. et al. Genicular artEry embolizatioN in patiEnts with oSteoarthrItiS of the Knee (GENESIS) Using Permanent Microspheres: Interim Analysis. Cardiovasc Intervent Radiol 2021; 44: 931-940
    CrossrefPubMedSearch in Google Scholar
  • 25 Okuno Y, Korchi AM, Shinjo T. et al. Midterm Clinical Outcomes and MR Imaging Changes after Transcatheter Arterial Embolization as a Treatment for Mild to Moderate Radiographic Knee Osteoarthritis Resistant to Conservative Treatment. J Vasc Interv Radiol 2017; 28: 995-1002
    CrossrefPubMedSearch in Google Scholar
  • 26 Chau Y, Roux C, Breuil V. et al. Endovascular Occlusion of Neovascularization as a Treatment for Persistent Pain After Total Knee Arthroplasty. Cardiovasc Intervent Radiol 2020; 43: 787-790
    CrossrefPubMedSearch in Google Scholar
  • 27 Cassel MWJ, Mayer F. Tendinopathien der unteren Extremität im Sport. Orthopädie und Unfallchirurgie up2date 2012; 7: 167-183
    Thieme ConnectPubMedSearch in Google Scholar
  • 28 Sanders TL, Maradit Kremers H, Bryan AJ. et al. Health Care Utilization and Direct Medical Costs of Tennis Elbow: A Population-Based Study. Sports Health 2016; 8: 355-358
    CrossrefPubMedSearch in Google Scholar
  • 29 Fernandez Martinez AM, Baldi S, Alonso-Burgos A. et al. Mid-Term Results of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment. Cardiovasc Intervent Radiol 2021; 44: 443-451
    CrossrefPubMedSearch in Google Scholar
  • 30 Okuno Y, Oguro S, Iwamoto W. et al. Short-term results of transcatheter arterial embolization for abnormal neovessels in patients with adhesive capsulitis: a pilot study. J Shoulder Elbow Surg 2014; 23: e199-206
    CrossrefPubMedSearch in Google Scholar
  • 31 Kung SC, Chou MY, Yang KW. et al. Intra-arterial Infusion of Temporary Embolic Agent as a New Treatment in a Patient With Osteoarthritis of the Fingers. Asia Pacific Journal of Pain 2022; 32: 10-15
    CrossrefPubMedSearch in Google Scholar
  • 32 Lievense A, Bierma-Zeinstra S, Schouten B. et al. Prognosis of trochanteric pain in primary care. Br J Gen Pract 2005; 55: 199-204
    PubMedSearch in Google Scholar
  • 33 Correa MP, Puton RC, Saleh JN. et al. Short-term follow-up of embolization of hip synovitis. CVIR Endovasc 2020; 3: 35
    CrossrefPubMedSearch in Google Scholar
  • 34 Fujiwara K, Inui S, Shibuya M. et al. Transcatheter Arterial Embolization Using Imipenem/Cilastatin Sodium for Chronic Low Back Pain Resistant to Conservative Treatment: A Pilot Study with 2-Year Follow-Up. Cardiovasc Intervent Radiol 2021; 44: 1964-1970
    CrossrefPubMedSearch in Google Scholar
  • 35 National Institute for Health and Care Excellence (NICE). Genicular artery embolisation for pain from knee osteoarthritis (IPG708). 2021 Accessed April 23, 2023 at: https://www.nice.org.uk/guidance/ipg708/resources/genicular-artery-embolisation-for-pain-from-knee-osteoarthritis-pdf-1899876045211333
    PubMedSearch in Google Scholar