Genicular Artery Embolization (GAE) w/ Dr. Mark Little | BackTable Ep. 447

In this episode, Dr. Mark Little shares his insights about genicular artery embolization (GAE), implications for patients with knee osteoarthritis, possible applications in other MSK interventions, and the importance of research for advancing the field. Dr. Little is a consultant diagnostic and interventional radiologist at Berkshire Imaging and Visiting Professor at the University of Reading in England.
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SYNPOSIS
The doctors also discuss challenges and considerations in patient selection, particularly concerning patients with comorbid peripheral arterial disease, and they further emphasize the need for high-quality research and collaboration within the IR community to continue improving MSK embolization practices.
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TIMESTAMPS
00:00 - Introduction
12:28 - Genicular Artery Embolization
24:30 - GENESIS 1 and 2 Studies
41:04 - Future of MSK Embolization
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RESOURCES
BackTable VI Episode 27 - Geniculate Artery Embolization for Osteoarthritis with Dr. Sandeep Bagla and Dr. Ari Isaacson:
www.backtable.com/shows/vi/po...
BackTable VI Episode 85 - Genicular Artery Embolization for OA with Dr. Jafar Golzarian:
www.backtable.com/shows/vi/po...
GEST MSK Annual Meeting:
thegestgroup.com/annual-msk-m...
GENESIS 1 - Genicular artEry embolizatioN in patiEnts with oSteoarthrItiS of the Knee (GENESIS) Using Permanent Microspheres: Interim Analysis:
pubmed.ncbi.nlm.nih.gov/33474...
GENESIS 2 - Genicular Artery Embolisation in Patients with Osteoarthritis of the Knee (GENESIS 2): Protocol for a Double-Blind Randomised Sham-Controlled Trial:
pubmed.ncbi.nlm.nih.gov/37337...
Dr. Little Genicular Artery Anatomy Paper - Cadaveric and Angiographic Anatomical Considerations in the Genicular Arterial System: Implications for Genicular Artery Embolisation in Patients with Knee Osteoarthritis:
pubmed.ncbi.nlm.nih.gov/34657...
Dr. Sid Padia’s Knee OA Research (UCLA) - Genicular Artery Embolization for the Treatment of Symptomatic Knee Osteoarthritis:
pubmed.ncbi.nlm.nih.gov/34703...
Dr. Lars Lönn from Copenhagen Trial - Genicular Artery Embolization as Pain Treatment of Knee Osteoarthritis (GETKO):
classic.clinicaltrials.gov/ct...
Dr. Anna Martinez from Spain Shoulder Study - Mid-Term Results of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment:
pubmed.ncbi.nlm.nih.gov/33135...
Dr. Anna Martinez from Spain Shoulder Study - Clinical Outcomes of Transcatheter Arterial Embolization for Secondary Stiff Shoulder:
pubmed.ncbi.nlm.nih.gov/33478...
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#geniculararteryembolization #kneeosteoarthritis #kneepain

[@rafalwojciechowski7500]

Great episode Aaron!

[@lawrenceroth9229]

I am a 64 y.o who is 8-months p.o. GAE for my right knee. I don't know if the doctor mentioned this regarding study data, but I think things have gotten better with time. So if you cut off your follow up in your study at 6 months, my experience is that things have still gotten better after that. Am I pain free? No. But I can take a meloxicam in the morning and I'll have no problem playing a softball doubleheader tonight at about 50% of what I was, pre bone on bone. The rest of the week I walk around with a 1-3 on the pain scale with no meds.

[@AMH2Conn]

I'll bite! 72 yo male runner with patella ostioarthitis in both knees. Talking with the insurance company this morning & consult appointment with an IR doctor next week. Sounds so promising.