{"id":214,"date":"2024-04-21T12:17:56","date_gmt":"2024-04-21T10:17:56","guid":{"rendered":"https:\/\/www.embonice.com\/?page_id=214"},"modified":"2024-04-21T12:17:56","modified_gmt":"2024-04-21T10:17:56","slug":"embolisation-du-genou","status":"publish","type":"page","link":"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/","title":{"rendered":"Embolisation du genou"},"content":{"rendered":"\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong><em>Principe de l\u2019embolisation<\/em><\/strong><\/p>\n\n\n\n<p>L\u2019arthrose du genou, atteinte d\u00e9g\u00e9n\u00e9rative de l\u2019articulation, est \u00e0 l\u2019origine de douleurs et de gonflements invalidants du genou, \u00e9voluant souvent par pouss\u00e9es.<\/p>\n\n\n\n<p>Nous savons d\u00e9sormais que ces pouss\u00e9es douloureuses et ces gonflements sont li\u00e9es \u00e0 une hypervascularisation inflammatoire de la synoviale, se traduisant par l\u2019existence de micro-vaisseaux anormalement d\u00e9velopp\u00e9s, aliment\u00e9s par les art\u00e8res g\u00e9nicul\u00e9es (art\u00e8res du genou).<\/p>\n\n\n\n<p>L\u2019embolisation consiste \u00e0 boucher ces micro-vaisseaux en vue de taris l\u2019inflammation synoviale locale.<\/p>\n\n\n\n<p>L\u2019embolisation des art\u00e8res g\u00e9nicul\u00e9es constitue donc un traitement mini-inavsif symptomatique des arthroses en pouss\u00e9e, chez des patients restant symptomatiques malgr\u00e9 un traitement de premi\u00e8re ligne bien conduit (r\u00e8gles hygi\u00e9no-di\u00e9t\u00e9tiques, kin\u00e9sith\u00e9rapie, m\u00e9dicaments oraux voire infiltrations), et refusant ou \u00e9tant contre-indiqu\u00e9s \u00e0 une chirurgie.<\/p>\n\n\n\n<p><strong><em>Circuit patient et proc\u00e9dure en d\u00e9tails<\/em><\/strong><\/p>\n\n\n\n<p>Apr\u00e8s avis pluridisciplinaire (rhumatologue, chirurgien orthop\u00e9diste), le patient \u00e9ligible \u00e0 l\u2019embolisation est re\u00e7u en consultation de radiologie interventionnelle.<\/p>\n\n\n\n<p>Une consultation d\u2019anesth\u00e9sie est programm\u00e9e au d\u00e9cours.<\/p>\n\n\n\n<p>Le geste est r\u00e9alis\u00e9 sous anesth\u00e9sie locale voire s\u00e9dation l\u00e9g\u00e8re.<\/p>\n\n\n\n<p>Le jour de l\u2019intervention, le patient est install\u00e9 sur le dos au bloc de radiologie interventionnelle.<\/p>\n\n\n\n<p>Le radiologue interventionnel r\u00e9alise une anesth\u00e9sie locale au pli de l\u2019aine, puis une ponction art\u00e9rielle (art\u00e8re f\u00e9morale commune), afin d\u2019introduire un cath\u00e9ter (petit tuyau) permettant de naviguer dans le r\u00e9seau art\u00e9riel du patient jusqu\u2019au art\u00e8res g\u00e9nicul\u00e9es, rep\u00e9r\u00e9es \u00e0 l\u2019aide de produit de contraste iod\u00e9.<\/p>\n\n\n\n<p>Une fois le cath\u00e9ter en place, une nouvelle injection de produit de contraste permet de confirmer l\u2019existence d\u2019une hypervascularisation anormale de la synoviale.<\/p>\n\n\n\n<p>Un microcath\u00e9ter permet de boucher les micro-vaisseaux anormaux, apr\u00e8s avoir v\u00e9rifi\u00e9 l\u2019absence de communication avec des structures \u00e0 pr\u00e9server (muscles, peau\u2026).<\/p>\n\n\n\n<p>Le mat\u00e9riel est ensuite retir\u00e9, et le point de ponction f\u00e9moral comprim\u00e9 ou occlus \u00e0 l\u2019aide d\u2019un syst\u00e8me de fermeture m\u00e9canique d\u00e9di\u00e9.<\/p>\n\n\n\n<p>La dur\u00e9e de l\u2019intervention est d\u2019environ 1h.<\/p>\n\n\n\n<p>Les complications per-op\u00e9ratoires sont tr\u00e8s rares, repr\u00e9sent\u00e9es essentiellement par les complications communes \u00e0 tous les abords art\u00e9riels et les complications cutan\u00e9es (douleurs et d\u00e9pigmentation cutan\u00e9e).<\/p>\n\n\n\n<p>Le patient peut regagner son domicile le jour m\u00eame, apr\u00e8s une surveillance d\u2019une heure.<\/p>\n\n\n\n<p><strong>Apr\u00e8s l\u2019embolisation ?<\/strong><strong><br><\/strong><\/p>\n\n\n\n<p>Bien qu\u2019\u00e9tant une technique novatrice au d\u00e9veloppement r\u00e9cent, les \u00e9tudes conduites sur l\u2019embolisation des art\u00e8res g\u00e9nicul\u00e9es ont conclu \u00e0 une am\u00e9lioration significative des douleurs et des scores fonctionnels \u00e0 moyen terme.<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Principe de l\u2019embolisation L\u2019arthrose du genou, atteinte d\u00e9g\u00e9n\u00e9rative de l\u2019articulation, est \u00e0 l\u2019origine de douleurs et de gonflements invalidants du genou, \u00e9voluant souvent par pouss\u00e9es. Nous savons d\u00e9sormais que ces pouss\u00e9es douloureuses et ces gonflements sont li\u00e9es \u00e0 une hypervascularisation inflammatoire de la synoviale, se traduisant par l\u2019existence de micro-vaisseaux anormalement d\u00e9velopp\u00e9s, aliment\u00e9s par les [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-214","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Embolisation du genou - Embonice.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Embolisation du genou - Embonice.com\" \/>\n<meta property=\"og:description\" content=\"Principe de l\u2019embolisation L\u2019arthrose du genou, atteinte d\u00e9g\u00e9n\u00e9rative de l\u2019articulation, est \u00e0 l\u2019origine de douleurs et de gonflements invalidants du genou, \u00e9voluant souvent par pouss\u00e9es. Nous savons d\u00e9sormais que ces pouss\u00e9es douloureuses et ces gonflements sont li\u00e9es \u00e0 une hypervascularisation inflammatoire de la synoviale, se traduisant par l\u2019existence de micro-vaisseaux anormalement d\u00e9velopp\u00e9s, aliment\u00e9s par les [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/\" \/>\n<meta property=\"og:site_name\" content=\"Embonice.com\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/\",\"url\":\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/\",\"name\":\"Embolisation du genou - Embonice.com\",\"isPartOf\":{\"@id\":\"http:\/\/www.embonice.com\/#website\"},\"datePublished\":\"2024-04-21T10:17:56+00:00\",\"dateModified\":\"2024-04-21T10:17:56+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"http:\/\/www.embonice.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Embolisation du genou\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/www.embonice.com\/#website\",\"url\":\"http:\/\/www.embonice.com\/\",\"name\":\"Embonice.com\",\"description\":\"Centre de Radiologie Interventionnelle de la ville de Nice\",\"publisher\":{\"@id\":\"http:\/\/www.embonice.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/www.embonice.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"http:\/\/www.embonice.com\/#organization\",\"name\":\"Embonice.com\",\"url\":\"http:\/\/www.embonice.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"http:\/\/www.embonice.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.embonice.com\/wp-content\/uploads\/2024\/04\/cropped-Black-and-White-Minimalist-Wave-Fashion-Logo.png\",\"contentUrl\":\"https:\/\/www.embonice.com\/wp-content\/uploads\/2024\/04\/cropped-Black-and-White-Minimalist-Wave-Fashion-Logo.png\",\"width\":500,\"height\":123,\"caption\":\"Embonice.com\"},\"image\":{\"@id\":\"http:\/\/www.embonice.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Embolisation du genou - Embonice.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.embonice.com\/index.php\/embolisation-du-genou\/","og_locale":"fr_FR","og_type":"article","og_title":"Embolisation du genou - Embonice.com","og_description":"Principe de l\u2019embolisation L\u2019arthrose du genou, atteinte d\u00e9g\u00e9n\u00e9rative de l\u2019articulation, est \u00e0 l\u2019origine de douleurs et de gonflements invalidants du genou, \u00e9voluant souvent par pouss\u00e9es. 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