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A prospective single-center study on genicular artery embolization using rapidly resorbable gelatin-based microspheres was published in the journal Radiology on June 16, 2026.
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The World Health Organization estimates that knee osteoarthritis affects over 365 million adults worldwide.
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Genicular artery embolization is a minimally invasive procedure that uses image guidance to inject particles into abnormal blood vessels around a joint.
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The study included 194 participants, comprising 114 women and 80 men, who had osteoarthritis-related knee pain unresponsive to at least three months of conservative treatment.
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The median age of participants was 69 years, and the median body mass index was 28.4.
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Participants underwent embolization procedures with resorbable microspheres between July and November 2024.
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Forty-five participants underwent two embolization procedures for bilateral knee osteoarthritis within four weeks of each other.
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The study cohort underwent a total of 239 embolization procedures.
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All procedures were technically successful and resulted in no moderate or severe adverse events.
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Mild, self-limited reactions occurred in 6.7 percent of the study group.
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Follow-up assessments were completed by 94 percent of patients at six weeks, 89 percent at three months, 89 percent at six months, and 79 percent at 12 months.
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Median pain scores on a 0-to-10 numeric scale decreased from 7 at baseline to 4 at six weeks, and to 3 at the six- and 12-month follow-ups.
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Median daily activity scores on the Knee Injury and Osteoarthritis Outcome Score improved from 53 at baseline to 71.5 at 12 months.
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Median sports and recreation scores on the Knee Injury and Osteoarthritis Outcome Score improved from 15 at baseline to 36 at 12 months.
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Median symptom scores on the Knee Injury and Osteoarthritis Outcome Score improved from 51 at baseline to 68 at 12 months.
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Median pain sub-scores on the Knee Injury and Osteoarthritis Outcome Score improved from 44 at baseline to 65 at 12 months.
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Quality of life scores on the Knee Injury and Osteoarthritis Outcome Score increased from 19 at baseline to 40 at 12 months.
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Eighty percent of participants achieved improvements exceeding the minimum clinically important difference threshold on pain scales at the 12-month follow-up.
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "GAE is a whole new treatment regimen that targets abnormal hypervascularity around the joint and, in turn, modulates the pathological neurovascular environment."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "By reducing both inflammation and pain, GAE with resorbable microspheres may be the first procedure that alters the course of the disease, slowing its progression."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "We believe these results carry real weight because they come from real-world data."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "With this broad, inclusive study design, our participants are exactly the patients that physicians encounter every day in their practices."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "In our cohort, we saw a significant drop in pain and a significant increase in function, including sports and recreation and daily activity."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "Most importantly, their quality of life significantly increased."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "Our study demonstrates that GAE using rapidly resorbable gelatin-based microspheres is a safe, minimally invasive therapy that provides meaningful pain relief and functional improvement in participants with osteoarthritis-related knee symptoms for at least 12 months."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "By embolizing the pathological vessels, we are able to normalize the vessel structure and, in turn, the neuronal structure of the knee."
Florian Nima Fleckenstein, deputy head of Interventional Radiology Campus Mitte, Charité Universitätsmedizin Berlin
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Florian Nima Fleckenstein said, "For the right patient, it can mean lasting relief from a single, minimally invasive procedure and represents a meaningful new option between injections and joint replacement."
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Collaborating researchers on the study included Dina David, Paolo Garducci, Tazio Maleitzke, Stephan Oehme, Lynn Jeanette Savic, Timo Alexander Auer, Bernhard Gebauer, Tobias Winkler, and Federico Collettini.
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