关键词: Abnormal neovessels Intraarterial embolization technique Plantar fasciitis

来  源:   DOI:10.1016/j.fas.2024.07.009

Abstract:
BACKGROUND: Plantar fasciitis (PF) is the most common cause of chronic heel pain, affecting young and older patients.
METHODS: This retrospective study included patients with PF refractory to conservative treatment who underwent intra-arterial embolization of abnormal neovessels. All patients received temporary embolic material through a needle percutaneously inserted into the posterior tibial artery. The numeric rating scale (NRS) pain score, American Orthopaedic Foot and Ankle Society (AOFAS) score, and procedure-related adverse events were evaluated.
RESULTS: Between January 2020 and February 2022, 66 patients with PF were treated with intra-arterial embolization without major adverse events. The NRS pain score improved significantly, and the AOFAS score increased from 65.8 pre-treatment to 92.8 at 1 year post-treatment. The treatment effect was maintained until the final follow-up (mean duration: 30.9 months).
CONCLUSIONS: Ultrasound-guided intraarterial embolization using temporary embolic material may be effective for PF.
METHODS: IV.
摘要:
背景:足底筋膜炎(PF)是慢性足跟痛的最常见原因,影响年轻和老年患者。
方法:这项回顾性研究包括保守治疗难以治疗的PF患者,这些患者接受了异常新生血管的动脉内栓塞。所有患者均通过经皮插入胫骨后动脉的针头接受了临时栓塞材料。数字评定量表(NRS)疼痛评分,美国骨科足踝协会(AOFAS)评分,并对手术相关的不良事件进行了评估.
结果:在2020年1月至2022年2月之间,66例PF患者接受了动脉内栓塞治疗,无重大不良事件。NRS疼痛评分明显改善,AOFAS评分从治疗前的65.8增加到治疗后1年的92.8。治疗效果一直维持到最后一次随访(平均持续时间:30.9个月)。
结论:使用临时栓塞材料的超声引导动脉内栓塞可能对PF有效。
方法:IV.
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