Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment
PURPOSE: The present study aims to assess the short-term clinical outcomes and safety of transarterial embolization (TAE) for symptomatic hand osteoarthritis (OA) refractory to conservative treatment. METHODS: The present retrospective cohort pilot study included nine patients who underwent TAE for...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-01-01
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| Series: | Diagnostic and Interventional Radiology |
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http://www.dirjournal.org/archives/archive-detail/article-preview/short-term-clinical-outcomes-of-transarterial-embo/63379
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| _version_ | 1797361133227606016 |
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| author | Sieh-Yang Lee Wei-Xiong Lim Kuan-Ting Wu Cheng-Ta Wu Chung-Cheng Huang Ching-Di Chang |
| author_facet | Sieh-Yang Lee Wei-Xiong Lim Kuan-Ting Wu Cheng-Ta Wu Chung-Cheng Huang Ching-Di Chang |
| author_sort | Sieh-Yang Lee |
| collection | DOAJ |
| description | PURPOSE: The present study aims to assess the short-term clinical outcomes and safety of transarterial embolization (TAE) for symptomatic hand osteoarthritis (OA) refractory to conservative treatment. METHODS: The present retrospective cohort pilot study included nine patients who underwent TAE for symptomatic OA-associated hand pain in a single tertiary center between November 2022 and January 2023. The baseline and post-procedural OA-associated hand pain and function were assessed using the visual analog scale (VAS) and the Australian Canadian Hand Osteoarthritis Index (AUSCAN). The use of conservative treatment and pain medications was also recorded. Post-procedural adverse events were evaluated according to the Society of Interventional Radiology classification. RESULTS: Compared with the baseline, the overall VAS scores were significantly decreased at 1-week, 1-month, 3-months, and 6-months after TAE (76 ± 15 mm versus 34 ± 18 mm, P < 0.001; 32 ± 11 mm, P < 0.001; 21 ± 15 mm, P < 0.001; 18 ± 19 mm, P = 0.002). Similarly, improvement in the mean total AUSCAN scores (22.0 ± 10.0 versus 13.2 ± 6.6, P = 0.007; 14.11 ± 7.3, P = 0.004; 9.8 ± 6.8, P = 0.004; 9.3 ± 7.4, P = 0.011) were documented. The use of other conservative treatment methods also gradually decreased. There were no severe adverse events reported during the follow-up period. CONCLUSION: TAE is a feasible and safe treatment method for symptomatic hand OA refractory to conservative treatment. This minimally invasive procedure effectively relieves debilitating OA-associated joint pain and restores hand function with a durable treatment effect. |
| first_indexed | 2024-03-08T15:49:35Z |
| format | Article |
| id | doaj.art-38aeeaf3b4954f8e80bb07cbad0793d0 |
| institution | Directory Open Access Journal |
| issn | 1305-3612 |
| language | English |
| last_indexed | 2024-03-08T15:49:35Z |
| publishDate | 2024-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-38aeeaf3b4954f8e80bb07cbad0793d02024-01-09T06:45:03ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-36122024-01-01301657110.4274/dir.2023.23235013049054Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatmentSieh-Yang Lee0Wei-Xiong Lim1Kuan-Ting Wu2Cheng-Ta Wu3Chung-Cheng Huang4Ching-Di Chang5 Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Diagnostic Radiology, Kaohsiung, Taiwan Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Diagnostic Radiology, Kaohsiung, Taiwan Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Orthopedic Surgery, Kaohsiung, Taiwan Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Orthopedic Surgery, Kaohsiung, Taiwan Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Diagnostic Radiology, Kaohsiung, Taiwan Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Department of Diagnostic Radiology, Kaohsiung, Taiwan PURPOSE: The present study aims to assess the short-term clinical outcomes and safety of transarterial embolization (TAE) for symptomatic hand osteoarthritis (OA) refractory to conservative treatment. METHODS: The present retrospective cohort pilot study included nine patients who underwent TAE for symptomatic OA-associated hand pain in a single tertiary center between November 2022 and January 2023. The baseline and post-procedural OA-associated hand pain and function were assessed using the visual analog scale (VAS) and the Australian Canadian Hand Osteoarthritis Index (AUSCAN). The use of conservative treatment and pain medications was also recorded. Post-procedural adverse events were evaluated according to the Society of Interventional Radiology classification. RESULTS: Compared with the baseline, the overall VAS scores were significantly decreased at 1-week, 1-month, 3-months, and 6-months after TAE (76 ± 15 mm versus 34 ± 18 mm, P < 0.001; 32 ± 11 mm, P < 0.001; 21 ± 15 mm, P < 0.001; 18 ± 19 mm, P = 0.002). Similarly, improvement in the mean total AUSCAN scores (22.0 ± 10.0 versus 13.2 ± 6.6, P = 0.007; 14.11 ± 7.3, P = 0.004; 9.8 ± 6.8, P = 0.004; 9.3 ± 7.4, P = 0.011) were documented. The use of other conservative treatment methods also gradually decreased. There were no severe adverse events reported during the follow-up period. CONCLUSION: TAE is a feasible and safe treatment method for symptomatic hand OA refractory to conservative treatment. This minimally invasive procedure effectively relieves debilitating OA-associated joint pain and restores hand function with a durable treatment effect. http://www.dirjournal.org/archives/archive-detail/article-preview/short-term-clinical-outcomes-of-transarterial-embo/63379 embolizationhandmusculoskeletalosteoarthritispain control |
| spellingShingle | Sieh-Yang Lee Wei-Xiong Lim Kuan-Ting Wu Cheng-Ta Wu Chung-Cheng Huang Ching-Di Chang Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment Diagnostic and Interventional Radiology embolization hand musculoskeletal osteoarthritis pain control |
| title | Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| title_full | Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| title_fullStr | Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| title_full_unstemmed | Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| title_short | Short-term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| title_sort | short term clinical outcomes of transarterial embolization for symptomatic hand osteoarthritis refractory to conservative treatment |
| topic | embolization hand musculoskeletal osteoarthritis pain control |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/short-term-clinical-outcomes-of-transarterial-embo/63379
|
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