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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1801850
Case Report

Feasibility of Pedal Access for Geniculate Artery Embolization

Eusha Hasan 
1   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, United States
,
Ali Saifuddin
2   Department of Interventional Radiology, Moffitt Cancer Center, Tampa, Florida, United States
,
Philip Schuchardt
2   Department of Interventional Radiology, Moffitt Cancer Center, Tampa, Florida, United States
,
Joe Khoury
1   Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, United States
,
Mustafa Al-Roubaie
2   Department of Interventional Radiology, Moffitt Cancer Center, Tampa, Florida, United States
› Author Affiliations Funding None.
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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


Publication History

Article published online:
27 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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