NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1745
Description This procedure aims to relieve pain by embolising the pathological new vessels while maintaining the larger vascular supply to the bone. Before the procedure, contrast-enhanced magnetic resonance imaging (MRI) of the knee is done to allow non-invasive assessment of synovial hypervascularity. This procedure is usually done using local anaesthesia with or without sedation. A catheter is passed through an introducer sheath in the femoral artery and then navigated into the genicular arteries supplying the knee to perform lower extremity angiography on the targeted side. Once the abnormal new vessels arising from these arteries are identified, a microcatheter is navigated into them and, under fluoroscopic guidance, tiny embolisation particles are then delivered until the blood flow is stopped. After the introducer sheath and catheter are removed, haemostasis is achieved with manual compression or a vascular closure device. The patient often goes home the same day. This procedure generally takes between 45 and 90 minutes.

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Timeline

Key events during the development of the guidance:

Date Update
27 May 2021 - 25 June 2021 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance