Abstract
Geniculate artery embolization is a treatment option for refractory knee osteoarthritis
in patients unable to receive total knee arthroplasty. This case report describes
two patients for whom pedal access was used to embolize the geniculate arteries due
to challenging groin anatomy secondary to significant comorbidities (morbid obesity,
proximal atherosclerosis). Both patients achieved marked pain relief and enhanced
knee function at 1-month follow-up. These cases suggest that pedal access is a viable
alternative, offering a promising approach for patients with unfavorable anatomy and
comorbidities that make groin access impractical. Further research is needed to validate
these findings in larger patient populations.
Keywords
geniculate - embolization - osteoarthritis
