GAEBoston

Research

Clinical evidence for GAE

Illustration of an open medical journal with charts beside reading glasses and a stethoscope
GAE's evidence base spans early case series, prospective trials, randomized sham-controlled studies, and pooled analyses.

Published study summaries

Okuno et al. — early mid-term outcomes

Cardiovascular and Interventional Radiology, 2015

Design: Prospective case series, mild-to-moderate knee OA

Key findings: First major series describing transcatheter embolization of abnormal neovessels. Reported significant, sustained reductions in WOMAC pain scores through long-term follow-up, with no major adverse events.

Bagla et al. — U.S. prospective study

Journal of Vascular and Interventional Radiology, 2020

Design: Prospective, multicenter, moderate-to-severe knee pain resistant to conservative therapy

Key findings: Significant reductions in pain (VAS) and WOMAC scores at 1, 3, and 6 months. Adverse events were minor, most commonly transient skin discoloration.

GENESIS — Little et al.

Cardiovascular and Interventional Radiology, 2021

Design: Prospective, single-center UK trial with microsphere embolization

Key findings: Clinically meaningful improvement in knee pain and function (KOOS) at 12 months; MRI showed reduced synovitis in a subset. Supported safety and feasibility.

Padia et al.

Journal of Vascular and Interventional Radiology, 2021

Design: Prospective trial of GAE for symptomatic knee OA

Key findings: Durable improvement in pain (VAS) and WOMAC scores at 12 months, with no serious adverse events.

Sham-controlled randomized trials

Multiple publications, 2022–2025

Design: Randomized, blinded, sham-controlled

Key findings: Randomized trials comparing GAE with a sham procedure have been published and are ongoing. Several have reported greater pain improvement with GAE than sham, while results across trials continue to be evaluated — an important step in confirming the treatment effect beyond placebo.

Systematic reviews & meta-analyses

Various journals, 2021–2025

Design: Pooled analyses of GAE studies

Key findings: Pooled data consistently show meaningful reductions in pain and WOMAC scores after GAE with a low rate of serious complications. Most reported adverse events are minor and self-limited.

Safety profile

Summaries are simplified for patient education. Please consult the original publications and discuss the evidence with your physician.

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