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Mid-Term Results of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment

  • Clinical Investigation
  • Embolisation (arterial)
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the mid-term clinical outcomes of transcatheter arterial embolization (TAE) for adhesive capsulitis (AC) resistant to medical treatments.

Materials and Methods

This is a prospective analysis performed between February 2016 and February 2020. Inclusion criteria for TAE were shoulder pain, restriction of movement and no response to conservative treatment for at least 3 months. Demographic variables, risk factors, technical aspects, adverse events, changes by visual analogue scale (VAS) for pain and physical examination before and after TAE were assessed.

Results

This study included 40 patients with AC (35 women and 5 men; mean age 50 ± 9 years old). Abnormal vessels were observed in 31/40 (77.5%) procedures. As embolic agent, imipenem/cilastatin was used. The mean follow-up was 21.2 ± 10.5 months. Significant differences were obtained in terms of pain reduction before and 6 months after TAE with the median visual analogue scale (VAS) of 8 vs. 0.5, P = 0.0001. Substantial differences were found regarding mobility in flexion and abduction before and 6 months after embolization, respectively (79.5° ± 18.5° vs. 133° ± 24.5°, P = 0.0001; 72.4° ± 18.8° vs. 129.7° ± 27.9°, P = 0.0001). No complications occurred. Complete recovery was obtained in 37/40 (92.5%) patients and partial recovery in 2/40 (5%). No clinical recurrence appeared.

Conclusions

Clinical results of transcatheter arterial embolization with imipenem/cilastatin are effective and stable in the mid-term follow-up for patients presenting with AC resistant to conservative treatments.

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Abbreviations

AC:

Adhesive capsulitis

DSA:

Digital subtraction angiography

IMP/CS:

Imipenem/cilastatin sodium

MRI:

Magnetic resonance imaging

ROM:

Range of motion

TAE:

Transcatheter arterial embolization

VAS:

Visual analogue scale

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Funding

This study was not supported by any funding.

Author information

Authors and Affiliations

  1. Interventional Radiology, Universitary Hospital of León, León, Spain

    Ana María Fernández Martínez MD, Sebastián Baldi MD & David Romero Alonso MD

  2. Radiology Department, Clínica Universidad de Navarra, Madrid, Spain

    Alberto Alonso-Burgos MD, PhD

  3. Physical Chemistry Area, Faculty of Biology and Environmental Sciences, University of León, León, Spain

    Roberto López PhD

  4. Area of Statistics and Operational Research, University of León, León, Spain

    M. Eva Vallejo-Pascual PhD

  5. Radiology Department, Universitary Hospital of León, León, Spain

    M. Teresa Cuesta Marcos MD

  6. Physical Medicine and Rehabilitation, Universitary Hospital of León, León, Spain

    Joaquín Rodríguez Prieto MD

  7. Institute of Biomedicine (IBIOMED), University of León, León, Spain

    Jose Luis Mauriz PhD

Authors
  1. Ana María Fernández Martínez MD
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  2. Sebastián Baldi MD
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  3. Alberto Alonso-Burgos MD, PhD
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  6. M. Teresa Cuesta Marcos MD
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  8. Joaquín Rodríguez Prieto MD
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Correspondence to Ana María Fernández Martínez MD.

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The authors declare that they have no conflict of interest.

Ethical Approval

The study performed was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Institutional Review Board (IRB). Our hospital clinical research ethics committee approved this study.

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Consent for publication was obtained for every individual person’s data included in the study.

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Informed consent was obtained from all individual participants included in the study.

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Fernández Martínez, A.M., Baldi, S., Alonso-Burgos, A. et al. Mid-Term Results of Transcatheter Arterial Embolization for Adhesive Capsulitis Resistant to Conservative Treatment. Cardiovasc Intervent Radiol 44, 443–451 (2021). https://doi.org/10.1007/s00270-020-02682-4

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  • DOI: https://doi.org/10.1007/s00270-020-02682-4

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