Evidence map›Paper›PMID 41848845›Full record

Observational studyCardiovascular and interventional radiology2026

Repeated Genicular Artery Embolization Using Permanent Microspheres for Severe Osteoarthritis and Postsurgical Pain.

A Taheri Amin, A Hübner, L Abu-Gharbieh, E Kemmer, P Krüselmann, F Ziayee, L M Wilms, C B Fink, K Jannusch, P Minko

Abstract readObservational Study
In one paragraph

Observational study in Cardiovascular and interventional radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

A Taheri AminDepartment of Diagnostic and Interventional Radiology, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Campus Virchow-Klinikum (CVK), Augustenburger Platz 1, 13353, Berlin, Germany. arian.taheri-amin@charite.de.ORCID http://orcid.org/0000-0002-3532-7383
A HübnerDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
L Abu-GharbiehDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
E KemmerDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
P KrüselmannDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
F ZiayeeDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
L M WilmsDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
C B FinkDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
K JannuschDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.
P MinkoDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Hospital Duesseldorf, 40225, Duesseldorf, Germany.

Funding

Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf 9772841
6 · The paper itself

Abstract

purposeTo investigate reperfusion after genicular artery embolization (GAE) in patients with severe osteoarthritis (OA) or persistent pain after total knee replacement (post-TKR), who did not achieve clinical improvement after initial GAE, and to evaluate the clinical efficacy of repeat GAE (reGAE). MATERIALS AND

methodsThis prospective observational study included patients with radiographically severe OA or post-TKR pain. GAE was performed using permanent microspheres. Clinical outcome was assessed at 6 weeks, 3, 6, 9, and 12 months using the numeric rating scale (NRS). Minimal clinically important difference (MCID) was defined as an improvement of at least 2 points compared with baseline. Patients failing to achieve MCID at 6 months underwent reGAE. Angiographic blush size before and after embolization during GAE and reGAE was measured and compared.

resultsIn 55 patients (87 GAEs), a median of 4 (range, 2-6) vessels was treated, with a median total embolic volume of 4.5 mL (1.5-10.1 mL). After initial GAE, 23 patients (42%) achieved MCID. Following reGAE at 6 months, an additional 20 patients (36%) reached MCID, with sustained efficacy up to 6 months after reGAE (p ≤ 0.0001); 12 patients (22%) remained non-responders. Quantitative angiographic analysis demonstrated a significant increase in blush size within previously treated vessels, necessitating reGAE (p ≤ 0.0001).

conclusionAfter GAE using permanent microspheres, reperfusion of previously treated vessels was observed at 6 months in all patients failing to achieve MCID. ReGAE increased the proportion of clinical responders, supporting its role as an effective additive treatment strategy in severe OA and post-TKR pain.

Indexed as

Arthroplasty, Replacement, KneeEmbolization, TherapeuticOsteoarthritis, KneePostoperative PainAgedAged, 80 and overAngiographyFemaleHumansMaleMicrospheresMiddle AgedPain MeasurementProspective StudiesTreatment OutcomeDouble GAEEmbolizationGAEGenicular Artery Embolizationknee OARepeat-GAEReperfusion in GAE

Identifiers

PMID41848845
PMCPMC13337900

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.