PMID- 28007330 OWN - NLM STAT- MEDLINE DCOM- 20170815 LR - 20170817 IS - 1535-7732 (Electronic) IS - 1051-0443 (Linking) VI - 28 IP - 2 DP - 2017 Feb TI - Clinical Outcomes of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment. PG - 161-167.e1 LID - S1051-0443(16)30566-8 [pii] LID - 10.1016/j.jvir.2016.09.028 [doi] AB - PURPOSE: To evaluate clinical outcomes of transcatheter arterial embolization (TAE) for adhesive capsulitis resistant to conservative treatments. MATERIALS AND METHODS: This study comprised 25 patients (18 women and 7 men; mean age, 53.8 y; range, 39-68 y) with adhesive capsulitis resistant to conservative treatments. TAE was performed, and adverse events (AEs), pain visual analog scale (VAS) score changes, range of motion (ROM), and American Shoulder and Elbow Surgeons (ASES) scores were assessed. RESULTS: Abnormal vessels were identified in all patients. No major AEs were associated with TAE. One patient was lost to follow-up. The remaining 24 patients were available for final follow-up (mean, 36.1 months; range, 30-44 months). Of the 24 patients, 16 (67%) experienced quick improvement of nighttime pain (ie, VAS scores decreased > 50% from baseline) within 1 week, and 21 (87%) improved within 1 month. In terms of mean overall pain (ie, pain at its worst), VAS scores significantly decreased at 1, 3, and 6 months after treatment (82 mm before treatment vs 52, 19, and 8 mm after treatment; P < .001). ASES scores significantly improved at 1, 3, and 6 months after treatment (16.1 before treatment vs 41.4, 69.1, and 83.5 after treatment; P < .001). No symptom recurrence or late-onset AEs were observed. Shoulder ROM and function further improved during midterm follow-up. CONCLUSIONS: TAE is a possible treatment option for patients with adhesive capsulitis that has failed to improve with conservative treatments. CI - Copyright (c) 2016 SIR. Published by Elsevier Inc. All rights reserved. FAU - Okuno, Yuji AU - Okuno Y AD - Musculoskeletal Intervention Center and Department of Sports Medicine, Edogawa Hospital, 2-24-18 Higashikoiwa, Edogawa-ku, Tokyo 133-0052, Japan. Electronic address: okuno@edogawa.or.jp. FAU - Iwamoto, Wataru AU - Iwamoto W AD - Musculoskeletal Intervention Center and Department of Sports Medicine, Edogawa Hospital, 2-24-18 Higashikoiwa, Edogawa-ku, Tokyo 133-0052, Japan. FAU - Matsumura, Noboru AU - Matsumura N AD - Departments of Orthopedic Surgery and Radiology, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan. FAU - Oguro, Sota AU - Oguro S AD - Departments of Orthopedic Surgery and Radiology, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan. FAU - Yasumoto, Taku AU - Yasumoto T AD - Department of Interventional Radiology, Miyakojima IGRT Clinic, Miyakojima-ku, Osaka, Japan. FAU - Kaneko, Takao AU - Kaneko T AD - Department of Orthopedic Surgery, Toho University School of Medicine (Ohashi), Meguro-ku, Tokyo, Japan. FAU - Ikegami, Hiroyasu AU - Ikegami H AD - Department of Orthopedic Surgery, Toho University School of Medicine (Ohashi), Meguro-ku, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20161219 PL - United States TA - J Vasc Interv Radiol JT - Journal of vascular and interventional radiology : JVIR JID - 9203369 SB - IM MH - Adult MH - Aged MH - Angiography MH - Biomechanical Phenomena MH - Bursitis/diagnosis/physiopathology/*therapy MH - *Embolization, Therapeutic/adverse effects MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pain Measurement MH - Prospective Studies MH - Range of Motion, Articular MH - Recovery of Function MH - Recurrence MH - Shoulder Joint/*blood supply/*physiopathology MH - Shoulder Pain/diagnosis/physiopathology/*therapy MH - Time Factors MH - Treatment Outcome EDAT- 2016/12/23 06:00 MHDA- 2017/08/16 06:00 CRDT- 2016/12/24 06:00 PHST- 2016/06/14 00:00 [received] PHST- 2016/09/25 00:00 [revised] PHST- 2016/09/25 00:00 [accepted] PHST- 2016/12/23 06:00 [pubmed] PHST- 2017/08/16 06:00 [medline] PHST- 2016/12/24 06:00 [entrez] AID - S1051-0443(16)30566-8 [pii] AID - 10.1016/j.jvir.2016.09.028 [doi] PST - ppublish SO - J Vasc Interv Radiol. 2017 Feb;28(2):161-167.e1. doi: 10.1016/j.jvir.2016.09.028. Epub 2016 Dec 19.