Genicular artery embolization (GAE) continues to gain traction worldwide, but is the evidence catching up to the hype? In this episode of BackTable Bone and Sports Podcast, host Dr. Kavi Krishnasamy welcomes Dr. Peter Minko, an interventional radiologist from Düsseldorf, Germany, to discuss GAE’s evolving evidence, techniques, and international practice patterns. Dr. Minko highlights forthcoming clinical trials and emphasizes the need for high-quality research to guide patient care.

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Timestamps

00:00 - Introduction
03:13 - The Embolization Landscape in Germany
07:25 - The Basics of GAE Patient Workup
13:49 - The Unideal Patient Candidate for GAE
16:55 - Measuring Outcomes Beyond Clinical Scores
23:14 - Procedure Specifics: Minko’s Choice
36:28 - Discussing the Future of Temporary vs. Permanent Embolics
43:47 - Collateral Flow Strategy and Procedure Wrap-Up
49:05 - Post-Procedure Rehab Guidelines
52:00 - Repeat GAE Treatment Algorithm
58:00 - Safety and Outcomes in Post-TKA Patients
01:04:11 - GAE and Associations with the Hospital Anxiety and Depression Scale (HADS)
01:09:40 - Call for Better Trials and Evidence in GAE
01:14:11 - Case Presentation: GAE Transpedal Access Case
01:21:05 - Case Presentation: “Three Stop Shop” Anastomosis
01:27:08 - Case Presentation: AV Fistula… Due to Arthroscopy?
01:32:03 - Case Presentation: Popliteal Agenesis
01:38:14 - Dr. Minko’s Perspective on the Future of MSK Embolization
01:40:55 - Wrap Up

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More about this episode

The doctors break down procedural specifics, including embolic materials, access site and catheter choices, and strategies for patient selection and contraindications. They discuss post-procedure rehabilitation, approaches to repeat GAE, and unique considerations for patients with prior total knee arthroplasty. The discussion also features interesting case presentations, explores the future of temporary versus permanent embolics, and examines the importance of robust study design in advancing MSK embolization. Dr. Minko shares his perspective on the direction of the field and the collaborative effort needed to move GAE evidence and practice forward.

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Resources

Dr. Peter Minko
https://www.researchgate.net/profile/Peter-Minko

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