After GAE on my left knee I now can go and walk around the store with my family, I haven’t done that in years. Something as simple as stepping over a curb is possible now and without pain. I can’t wait to have my second knee done!
Treatment for: Knee pain caused by osteoarthritis
Procedures offered: Genicular artery embolization
Knee osteoarthritis
New research is changing our understanding of how osteoarthritis evolves. Of special importance is the finding that the synovium, the thick band of connective tissues that surround the knee and produce a fluid that lubricates the joint, may show signs of significant change even before visible cartilage degeneration has occurred. In other words, the inflammation and joint deterioration that causes OA knee pain is happening while the cartilage is still mostly intact.
Genicular artery embolization (GAE) is a new, minimally invasive procedure meant to “fill the gap” between medication and total knee replacement surgery. During the procedure, an interventional radiologist uses imaging to guide a catheter through the vascular system and to the genicular artery feeding the synovium. Tiny particles are injected that block the flow of blood to the synovium, which in turn decreases the inflammatory mediators that it secretes. The result is fast and long-term pain relief, as well as improved function and quality of life. Additionally, it does not preclude the ability to have knee replacement surgery in the future.
GAE Preparation Instructions
- Please inform us of all medications that you are taking, including herbal supplements, and if you have any allergies, especially to local anesthetic, medications or to contrast (also known as “x-ray dye”).
- You may be advised to stop taking aspirin, nonsteroidal anti-inflammatory drugs (Tylenol, Advil) or a blood thinning medication for a period of time before your procedure.
- Please inform us about recent illnesses or other medical conditions.
- Women who are or may be pregnant should inform us immediately. Many imaging tests such as x-ray are not performed during pregnancy so as not to expose the fetus to radiation.
- Unless otherwise instructed, you may take your usual medications, especially blood pressure medications. These may be taken with some water in the morning before your procedure.
- You may be instructed to refrain from eating or drinking anything for several hours before your procedure.
- You may need to remain for a period of observation after your procedure.
- You will be given a gown to change into before your procedure.
Frequently Asked Questions (FAQ) for GAE
Genicular Artery Embolization (GAE) is a minimally invasive procedure that reduces chronic knee pain from osteoarthritis by blocking specific arteries to decrease inflammation and pain. At our clinic, our experts specialize in this effective treatment, using the latest techniques to ensure optimal results.
GAE blocks abnormal blood vessels in the knee that cause chronic inflammation. Using a tiny catheter, we inject small particles to reduce blood flow to these areas, easing pain and swelling without any incisions. Trust our experts to deliver this advanced procedure with precision and care.
GAE is highly effective, with over 80% of patients experiencing substantial pain reduction and improved quality of life. Our dedicated team is here to help you achieve these results with a patient-centered approach.
The results can vary from a few weeks to several years. Most patients see significant pain relief for two years or more. Our personalized care aims to maximize the duration of your relief, helping you return to your active lifestyle quickly.
Yes, many insurance plans cover GAE. We will help verify your coverage and explore payment options to make the process as smooth and stress-free as possible.
Blood flow to the knee is not entirely cut. GAE safely targets only the abnormal vessels causing inflammation, restoring a normal blood flow and reducing pain. Our skilled specialists ensure the procedure is performed safely and effectively, prioritizing your well-being.
GAE is very safe with a low risk of complications. Our providers will discuss any potential risks with you before the procedure, ensuring you are well-informed and comfortable. Our team’s extensive experience and commitment to safety make us a trusted choice for your care.
Side effects are usually mild, such as temporary pain, bruising, and swelling at the catheter site. Serious side effects are rare, but we will monitor your recovery closely, providing support and guidance every step of the way.
Yes, if knee pain returns, GAE can be repeated. Our experts will evaluate your condition to determine if a repeat procedure is appropriate. We’re here to help you find lasting relief.
GAE is ideal for patients with chronic knee pain from osteoarthritis who haven’t responded to other treatments. We will assess your condition to confirm if GAE is right for you, using our expertise to provide personalized solutions for pain relief.
GAE may not be suitable for those with severe peripheral artery disease, certain infections, or allergies to embolization materials. Our providers will review your case to ensure you receive the most appropriate care, tailoring our approach to meet your specific needs.
At our clinic, we treat our patients like family. Our world-class physicians have pioneered treatments like GAE, ensuring you receive top-notch, personalized care. Our friendly staff is dedicated to making your experience exceptional, so you leave not just satisfied, but thrilled with your care. Contact us today to schedule a consultation and take the first step towards a pain-free life!
For more information or to schedule a consultation, contact us at North Star Vascular and Interventional. We’re here to provide friendly, expert care and help you stay healthy and active.
Here’s what our patients have to say!
Excellent service, thoughtful care, leaves an impression. 10/10.
I had a consultation regarding an artery embolization recommended by my own PCP. Each encounter from the phone call to make appointment, front desk staff to nurses and finally Dr. Golzarian himself were friendly, compassionate and professional. I was pleasantly surprised by the length of time Dr. Golzarian spent to explain my condition, options and expected outcome of each. He truly involved me in the conversation and decision making process. One of the few times I left a physician’s office feeling like I was involved in my own health decisions and completely comfortable about what was the discussion that we had and the decision I made. Highly recommend Dr. Golzarian for your next consultation.
Ok. So, first off, awesome crew.
From consultation to day of, I was given clear explanations, my questions were answered. Moe was awesome at checking me in. Kelly, Sandra and Sarah are super pleasant and comforting nurses. They made sure I was comfortable, (played my favorite music) had assuring words and made sure that I knew and understood everything they were doing. Andy, the PA, was very knowledgeable and answered my questions clearly and precise. Dr. Astani was wonderful.
I got the best treatment from North Star.
Excellent experience, knowledgeable and caring staff! Feels like they turned back the clock 5+ years on my knee!
Yesterday, Dr. Golzarian operated on my right knee, which had severe arthritis. Now that 24 hours have passed, I feel like I’m in my twenties when I’m exactly 80 years old. I just don’t know and can’t express my gratitude to you and your dear colleagues. I think you performed a miracle. All the orthopedists I went to for my knee bone wear unanimously said that they should replace with an artificial knee. But now I am walking without any pain and my blood pressure is rising. I just wanted to say that I thank you and your colleagues at North Star from the bottom of my heart.
Totally painless and with no bleeding or other complication. Had the desired outcome and highly recommended prostatic artery embolization for BPH and as my urologist observed Dr. Golzarian is the most experienced interventional radiologist for doing this procedure in this country.
I definitely am glad that I gave them my trust to provide me with the amazing experience that I had when I came in to have my procedure done I was very concerned because I have extreme vertigo that has been disregarded by previous medical professionals. That did not happen whatsoever when I came in for my procedure with North Star Vascular! When I was speaking with my prep team over the phone, she made sure that she was able to provide the best care for me. And they did. Throughout the prepping and the procedure they were attentive, accommodating, and the most caring team I have ever dealt with. I can’t wait for my follow-up visit so we can schedule my other knee procedure. I went from a resting level pain of eight in my right knee, which is the worst or actually was the worst to a resting pain of zero I can climb stairs, I can walk , literally pain-free and that was the second day after surgery. I feel strongly that you can put your trust into North Star Vascular and Dr. Golzarian and his team! I can’t stress enough the amazement and delight to be pain free! Take a chance—-you won’t regret it!
My mom has so much relief after having her procedure and is scheduled for the left knee. Great service!
Dr. Golzarian, thank you for the very good procedure you did to treat my knee osteoarthritis, when all the other doctors wanted to give me an artificial knee because of the advanced osteoarthritis. You gave me the hope of walking again without pain after two hours of performing GAE on my knee. I am 80 years old. I am old, for the first time in six years, I was able to walk again without pain after the procedure, I was able to go up and down the stairs. For this reason, while thanking and appreciating you and your skilled colleagues, I want you to know that I am always grateful to you. Thank you.