BackTable Vascular & Interventional Ep. 598 Genicular Artery Embolization: Insights & Techniques with Dr. Rachel Piechowiak and Dr. Faraz Khan
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Dec 16, 2025 Dr. Rachel Piechowiak and Dr. Faraz Khan, both interventional radiologists at IR Centers, delve into the transformative role of genicular artery embolization (GAE) for chronic knee pain. They discuss patient selection criteria, access strategies, and the intricacies of catheter techniques. Their insights on embedding realistic expectations with patients and managing post-procedure complications are invaluable. With an eye on the future, they emphasize the need for comprehensive long-term data to enhance GAE's application in pain management.
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Set Conservative Patient Expectations
- Undersell expected outcomes and set realistic goals during GAE consultation.
- Tell patients GAE reduces inflammation and improves function but does not restore cartilage or guarantee cure.
Durability Varies With Patient Factors
- Durability after GAE is variable and influenced by patient factors like obesity and joint grade.
- Expect anywhere from months to years of relief; tailor counseling to individual risk factors.
Prefer Pedal Access When Feasible
- Try pedal (retrograde) access for GAE when ankle pulses and duplex waveforms are adequate.
- Prep both groin and foot and switch promptly to femoral if pedal access fails or vessel is <2 mm.