Transarterial Periarticular Embolization (TAPE): Indications and Initial Experience in Germany

Abstract

Purpose The purpose of this article is to demonstrate the potential indications, procedural technique and initial results of the transarterial periarticular embolization (TAPE). Material and Methods TAPE was performed in three patients with chronic pain in different joints. In the first case the patient suffered from osteoarthritis of the shoulder, in the second case from epicondylitis humeri ulnaris (golfer-elbow) and in the third case from patellar tendinitis (jumpers-knee). Clinical as well as pain assessment was performed pre and post-interventionally. Results TAPE was performed with technical success in all three patients. For vessel access, either a transradial or transfemoral access was chosen. The joint supplying vessels were catheterized superselectively with microcatheters and embolized with Imipenem/Cilastatin diluted in contrast medium. After embolization of the knee the patient demonstrated skin redness, which disappeared within one week. No further complications were noted. All patients reported significant pain relief within the first day after intervention. Conclusion TAPE is a novel therapy for the treatment of persistent, chronic joint pain and tendinopathies, supported by publications from institutes outside of Europe. The initial experiences made in our institute are encouraging and suggest that TAPE may have the potential as an adjunct therapy option for patients with therapy-resistant chronic joint and tendinopathy-pain. Key Points TAPE is a novel therapy for treatment of degenerative joint pain and tendinopathies TAPE is a technically challenging endovascular procedure and requires high interventional expertise TAPE may have the potential to develop to a minimally-invasive therapy option for patients with chronic joint pain Citation Format Katoh M, Schott P, Freyhardt P etal. Transarterial Periarticular Embolization (TAPE): Indications and Initial Experience in Germany. Fortschr Röntgenstr 2020; 192: 1046-1052.