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Evaluating transcatheter arterial embolisation for improvement of pain in osteoarthritis (OA) of the knee - a pilot study

Not Applicable
Completed
Conditions
Knee osteoarthritis
Musculoskeletal - Osteoarthritis
Registration Number
ACTRN12616000770460
Lead Sponsor
Barwon Medical Imaging
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
10
Inclusion Criteria

1. People aged 18 to 75 years
2. Grade 1 or 2 knee OA (obtained via baseline imaging (X-Ray) as per Kellgren-Lawrence Grading Scale)
3. Moderate to severe knee pain
4. Pain resistant to conservative treatment
a. Conservative treatment includes medication (e.g. paracetamol, anti-inflammatories), or intra-articular injections, or physiotherapy or exercise, or weight loss.
5. Participants must be willing, able and mentally competent to provide informed consent (able to read and understand the Patient Information and Consent Form).

Exclusion Criteria

1. Local infection
2. Active malignancy
3. Rheumatoid Arthritis or Seronegative Arthropathies
4. Prior Ipsilateral Knee Surgery
5. Kellgren-Lawrence Grade 3 and above
6. Current pregnancy
a. If participant is unsure of their current pregnancy status clarification from their GP including arranging a pregnancy test and following up the result can be obtained
7. Known history of allergy to contrast media
8. Reduced kidney function or failure (chronic or acute)
a. Acute kidney injury (Defined by KDIGO: Increase in a participant’s serum creatinine level by >0.3mg/dL (>26.5 micromol/L) within 48 hours OR Increase in a participants serum creatinine by >1.5x their baseline OR Oliguria (urinary output <0.5mL/kg/hr) for 6 hours
9. Weight greater than 200kg
10. Barwon Medical Imaging Protocols:
a.Platelets < 100 x 109/L
b. INR > 1.5
c. Estimated GFR < 30ml/min.1.73m2
11. Approved for knee joint replacement surgery
12. Moderate to severe pain in other lower limb joints

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in knee pain as assessed by the Knee injury and Osteoarthritis Outcome Score (KOOS)[1 month post intervention]
Secondary Outcome Measures
NameTimeMethod
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