Evidence map›Paper›PMID 41653246›Full record

ArticleCVIR endovascular2026

Sheathless microcatheter: a new approach for musculoskeletal arterial embolization.

Raad Madkhali, Mohammed Almoaiqel, Refaat Salman, Mohammad Arabi, Shaker Alshehri, Turki Alenazi, Elan Humoud, Abdulmohsen Alhussaini, Mohamed Rajab Elzahrani

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Article in CVIR endovascular, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Raad MadkhaliKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mohammed AlmoaiqelKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Refaat SalmanKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mohammad ArabiKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Shaker AlshehriKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Turki AlenaziKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Elan HumoudKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Abdulmohsen AlhussainiKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mohamed Rajab ElzahraniKing Abdulaziz Medical City, Riyadh, Saudi Arabia. dr.mohamedelzahrani@gmail.com.ORCID http://orcid.org/0009-0005-0964-0818

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOngoing developments in interventional radiology have enabled the treatment of various musculoskeletal inflammatory disorders via super-selective embolization of abnormal areas of neovascularization. The current convention is to utilize vascular sheaths in these procedures. This study explored a single-center experience with a novel approach utilizing a sheathless microcatheter cannulation technique without the conventional vascular sheath. MATERIAL AND

methodsA single-center retrospective chart review was conducted, including all eligible adult patients for whom a super-selective embolization was performed to treat an MSK inflammatory disorder between August 2024 and March 2025. The pre-procedural medical records and imaging were reviewed to determine satisfaction of inclusion criteria. The fluoroscopic images from the angiography suite and procedure notes were reviewed to determine technical success and immediate complications.

resultsTwenty-seven procedures were performed for 19 patients. The average age was 47.5 ± 10 years old. The majority of patients were female (13; 68.5%). The most common procedure indication was for treatment of plantar fasciitis with 14 procedures (51.9%). The embolic material of choice was imipenem-cilastatin in all but one procedure (26; 96.3%). The commonest microcatheter size was 1.7 French (21; 77.8%), and the preferred access vessel was the common femoral artery (17; 63%). The technical success rate was 100% without immediate complications. No major post-procedural complications were encountered. Only one minor access site hematoma complication was reported.

conclusionThis novel sheathless microcatheter approach was found to be feasible, safe, and effective without major complications within our limited sample size.

Identifiers

PMID41653246
PMCPMC12882902

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