Treatment with Radiosynoviorthesis in Hemophilic Patients with and Without Inhibitor

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2020 Apr 22

PMID 32312235

Citations 3

Authors

Mario Edgar Tena-Sanabria

Yoriko Fabiola Rojas-Sato

Jose Carlos Castaneda-Resendiz

Gabriela Fuentes-Herrera

Felix Alejandro Alvarez-Martinez

Yureni Irai Tena-Gonzalez

Juan Carlos Nunez-Enriquez

Affiliations

Soon will be listed here.

Abstract

Background: Spontaneous bleedings occurring into joints (hemarthrosis) are the most common manifestations of hemophilia and causes severe joint damage ultimately resulting in joint disfunction known as hemophilic arthropathy. Among available therapeutic options for reducing recurrent hemarthrosis-associated damage, radiosynoviorthesis (RS) has proven effective in improving joint function.

Aim: To assess the impact of RS with Yttrium(90) citrate (C-Y(90)) on frequency of hemarthroses and joint function in a group of pediatric patients.

Methods: Between November 1998 and February 2017, we evaluated 27 pediatric patients with mild, moderate or severe hemophilia with haemophilic arthropathy. Overall, RS was applied in 60 joints. Some patients received more than one single intra-articular injection with C-Y(90).

Results: During the follow-up, one patient showed joint bleeding 15 months after RS, one patient after 12 months and one patient after 45 days. The episodes of hemarthrosis were reduced and joint function significantly improved in all patients.

Conclusion: RS with C-Y(90) is a simple and safe treatment for reducing the frequency of hemarthroses in patients with hemophilia. It decreases the use of factor VIII / IX and improves joint function.

Citing Articles

Cartilage Destruction by Hemophilic Arthropathy Can Be Prevented by Inhibition of the Ferroptosis Pathway in Human Chondrocytes.

Wagener N, Hardt S, Pumberger M, Schomig F J Clin Med. 2024; 13(2).

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The EANM guideline for radiosynoviorthesis.

Kampen W, Boddenberg-Patzold B, Fischer M, Gabriel M, Klett R, Konijnenberg M Eur J Nucl Med Mol Imaging. 2021; 49(2):681-708.

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Orthopedic surgery in hemophilic patients with musculoskeletal disorders: A systematic review.

Badulescu O, Sirbu P, Ungureanu C, Pnzariu A, Cojocaru E, Filip N Exp Ther Med. 2021; 22(3):995.

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