Short-term Results of Transcatheter Arterial Embolization for Chronic Medial Epicondylitis Refractory to Conservative Treatment: A Single-Center Retrospective Cohort Study.

Autor: Lee JH; Department of Radiology, Seoul National University Bundang Hospital, Bundang, Seongnam, Republic of Korea., Kim DH; Department of Radiology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Republic of Korea., Lee SH; Department of Radiology, H Plus Yangji Hospital, Nambusunhwan-ro, Gwanakgu, 1636, Seoul, Republic of Korea. major211@gmail.com., Hwang JH; Department of Radiology, Konkuk University School of Medicine, Seoul, Republic of Korea., Cho SB; Department of Radiology, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul, Republic of Korea., Kim M; Department of Radiology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Republic of Korea., So YH; Department of Radiology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Republic of Korea., Kim YJ; Department of Biomedical Engineering, Gachon University College of Medicine, Incheon, Republic of Korea., Choi WS; Department of Radiology, Seoul National University Bundang Hospital, Bundang, Seongnam, Republic of Korea., Yoon CJ; Department of Radiology, Seoul National University Bundang Hospital, Bundang, Seongnam, Republic of Korea.
Jazyk: angličtina
Zdroj: Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2022 Feb; Vol. 45 (2), pp. 197-204. Date of Electronic Publication: 2021 Jun 04.
DOI: 10.1007/s00270-021-02878-2
Abstrakt: Purpose: To evaluate the effectiveness and safety of transcatheter arterial embolization (TAE) for chronic medial epicondylitis (ME) refractory to conservative treatments.
Materials and Methods: This retrospective study included ten patients (14 procedures) who underwent TAE between May of 2018 and April of 2020 to treat chronic ME refractory to conservative treatments for at least 3 months. Imipenem/cilastatin sodium was used in 12 procedures, and quick-soluble gelatin sponge particles were used in the ensuing two procedures as an embolic agent. The visual analogue scale (VAS, 0-10) score and Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) scores were assessed at baseline and at different post-treatment times (1 day; 1 week; 1, 3, and 6 months; and an open period). The clinical success of the procedure was defined as a decrease of more than 70% in the Quick-DASH scores at 6 months compared to the baseline.
Results: Clinical success was achieved in 12 of 14 procedures (85.7%). No major complications were observed during the follow-up periods. The mean VAS scores were significantly decreased at 1 day, 1 week, 1 month, 3 months and 6 months (7.6 at baseline vs. 3.6, 3.6, 3.6, 3, and 0.9 after treatment; all P < .01). The mean Quick-DASH scores at baseline decreased significantly at 1 day, 1 week, and at 1, 3, and 6 months after treatment (71.9 vs. 48.5, 44, 37.7, 30.2, and 8.4; all P < .01). These improvements endured in nine patients for up to 12 months after treatment.
Conclusion: TAE effectively and safely relieved pain and promoted functional recovery in chronic ME patients refractory to conservative treatments. TAE may be a feasible treatment option for patients with ME intractable to conservative treatments.
(© 2021. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).)
Databáze: MEDLINE
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