MedPath

Embolization of the knee arteries to relief chronic pain using imipenen/cilastatin versus microspheres

Phase 4
Recruiting
Conditions
gonoarthrosis
10179
Registration Number
RBR-2h5rwgb
Lead Sponsor
Invasc - Instituto Vascular de Passo Fundo
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Diagnosis of knee ostheoartritis; Knee pain for more than 6 month; Refractory to conservative treatment - at least 3 months of physical therapy and/or parenteral pain medication and/or corticosteroid knee infiltration with no clinical improvement; Kellgreen-Lawrence classification I to III in the knee X-ray; Comproved sinovitis in the magnetic resonance; Wiling to participate and to sign the consentment term; Willing to follow up; It has to be in hospital due to refractory knee pain.

Exclusion Criteria

Indication to total knee replacement, Kellgreen-Lawrence grade IV; No conservative measure performed before enrollment; Previous knee arthroplasty; Patients with Rheumatoid arthritis or infectious arthritis; Patients with fybromialgia; Deposit corticosteroid 30 days prior to embolization; Patients with no cognitive conditions to participate to the procedure, informing where are the pain areas; Comproved allergy to iodine ou to any of the embolization agents; Comproved coagulopathy; Prothrombin activity time <50%; INR >1,5; Platelet count <50.000/mm3; Serum creatinin > 2,0mg/dl; Not to sign consentment term or not to willing to participate of the study.

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical improvement of at least 80% in symptoms after the proposed treatment, assessed using validated quality of life questionnaires. Reduction of synovitis areas on magnetic resonance imaging after one year of treatment, evaluating synovitis scores validated in the literature.
Secondary Outcome Measures
NameTimeMethod
To define the non-inferiority of one embolization agent in relation to the other
© Copyright 2025. All Rights Reserved by MedPath