Embolization Treatment of Chronic Refractory Shoulder Tendinopathy

Exclusion Criteria

• •1. History of peripheral arterial disease or peripheral artery disease symptoms including claudication, diminished or absent upper/lower extremity pulses, or known upper extremity arterial atherosclerosis or occlusion that would limit selective angiography
• •2. Known history of anaphylaxis to iodinated contrast agents or gadolinium based contrast
• •3. Acute kidney injury
• •4. Allergy to poppy seeds or lipiodol
• •5. Renal dysfunction as defined by serum creatinine \>1.6 dl/mg or eGFR \<60 obtained within 30 days of procedure.
• •6. Uncorrectable coagulopathy (platelet count \< 50,000, international normalized ratio \>1.8 within 30 days of procedure
• •7. Active systemic or local upper extremity infection
• •8. Patient pregnant, intending to become pregnant during the study.
• •9. Prior shoulder replacement surgery
• •10. Prior rotator cuff repair surgery
• •11. Previous history of complete full-thickness tear of the rotator cuff
• •12. Presence of non-MRI compatible devices (e.g., non-compatible cardiac pacemaker).