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Genicular Arterial Embolization

Overview

Genicular Arterial Embolization (GAE) is a minimally invasive procedure used to reduce pain and inflammation in the knee or shoulder by blocking abnormal blood flow to inflamed areas. It is commonly performed for osteoarthritis-related pain when conservative treatments have not been effective.

Procedure Breakdown:

  1. Preparation:
    • Patients may need to avoid eating or drinking for a few hours before the procedure.
    • Blood-thinning medications may need to be temporarily stopped.
    • A mild sedative or local anesthesia is administered to ensure comfort.
  2. Catheter Insertion:
    • A small incision is made in the groin or wrist to insert a thin catheter into the arterial system.
  3. Imaging Guidance:
    • Contrast dye is injected, and fluoroscopy (live X-ray) is used to guide the catheter to the genicular (knee) or shoulder arteries.
  4. Embolization Process:
    • Tiny particles are injected into the targeted blood vessels to reduce excess blood flow and inflammation.
    • This helps alleviate pain and slow the progression of osteoarthritis.
  5. Completion & Recovery:
    • The catheter is removed, and a small bandage is applied to the incision site.
    • Patients are monitored for a few hours and can typically return home the same day.
    • Mild soreness may occur, but most patients experience pain relief within weeks.

GAE is a safe, effective, and non-surgical alternative for managing chronic knee and shoulder pain, improving mobility and quality of life.

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