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Genicular Artery Embolization (GAE) vs. Total Knee Replacement

For individuals suffering from chronic knee pain, especially due to osteoarthritis, finding the right treatment can be time-consuming and daunting. While total knee replacement (TKR) has long been a standard option, advancements in minimally invasive procedures offer new, effective alternatives. One such breakthrough is genicular artery embolization (GAE)

What is Genicular Artery Embolization (GAE)?

Genicular artery embolization is a minimally invasive procedure designed to reduce knee pain and inflammation by targeting the small arteries supplying blood to the knee joint lining. By selectively blocking these arteries, GAE reduces inflammation to alleviate pain without surgery. The procedure is performed by an interventional radiologist, who uses image-guided techniques like ultrasound and a small catheter that is guided through the veins to the targeted arteries.

How Does GAE Compare to Total Knee Replacement?

1. Invasiveness

  • GAE: As a non-surgical, image-guided procedure, GAE requires no large incisions, only a small nick in the skin. A small catheter is used and the procedure typically takes less than 2 hours.
  • TKR: Total knee replacement is a major surgical procedure where the damaged knee joint is replaced with an artificial implant. It requires general anesthesia, significant incisions, and extensive tissue manipulation.

2. Recovery Time

  • GAE: Recovery from GAE is remarkably quick. Most patients resume normal activities within a few days, with minimal downtime.
  • TKR: Recovery from TKR can take several months. Patients typically undergo weeks of physical therapy, with many requiring assistance to walk and manage daily tasks.

3. Pain and Risks

  • GAE: Since GAE is non-surgical, it carries fewer risks of complications such as infection, blood clots, or anesthesia-related issues. Pain after the procedure is minimal, and patients usually experience gradual pain relief within weeks.
  • TKR: Post-surgical pain can be intense, requiring strong medications. Risks include infection, blood loss, implant failure, and long-term complications like stiffness.

4. Cost

  • GAE: GAE is significantly more cost-effective than total knee replacement. With fewer hospital stays, no need for implants, and shorter recovery times, GAE can be a financially viable solution for many patients. GAE at North Star Vascular is done in an outpatient setting, which means you can go home shortly after your procedure.
  • TKR: Total knee replacement can be expensive, even with insurance coverage, and often costs tens of thousands of dollars. Costs increase with prolonged hospital stays, physical therapy, and the potential for additional treatments due to complications.

Is GAE Right for You?

GAE is ideal for patients experiencing knee pain who are not ready for or do not qualify for surgery. If you’re looking for a faster, less invasive way to reduce pain and improve mobility, genicular artery embolization may be the solution.

Contact North Star Vascular to determine if GAE is the right option for you. This innovative treatment is changing how chronic knee pain is managed, offering hope for patients seeking effective, minimally invasive alternatives to total knee replacement.

Schedule a GAE consult by calling (952) 960-9399. 

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Embolization: From the Academic Center to Private Practice