Current role for radioisotope synovectomy - 29/04/18
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Abstract |
Radioisotope synovectomy has been extensively used to treat patients with chronic inflammatory joint disease but has moved to a less prominent position since the introduction of new and highly effective drugs. Remaining indications are refractory synovitis, pigmented villonodular synovitis as an adjunct to surgery, and hemophilic arthropathy. The three main radioisotopes used are yttrium-90, rhenium-186, and erbium-189. Radioisotope synovectomy should be performed only by highly experienced professionals, to minimize the risk of injection-related complications. The available safety data, in particular regarding the risk of malignancy, are reassuring. The efficacy of yttrium-90 in chronic inflammatory joint disease remains controversial.
Le texte complet de cet article est disponible en PDF.Keywords : Radioisotope synovectomy, Chronic inflammatory joint disease, Pigmented villonodular synovitis, Hemophilia
Plan
Vol 85 - N° 3
P. 295-299 - mai 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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