First in Human Study of SakuraBead for Genicular Artery Embolization to Treat Pain Secondary to Knee Osteoarthritis

Inclusion Criteria: 1. Patient is able and willing to provide written informed consent, and 2. Clinical diagnosis of knee OA, and 3. Moderate to severe knee pain (VAS ≥ 5), and 4. Pain refractory to at least 3 months\* of conservative therapies (anti-inflammatory drugs, or physical therapy, or muscle strengthening, or intra-articular injections), and 5. Kellgren-Lawrence grade 1, 2 or 3 on radiograph of the knee, and 6. Age 40 years or older. 7. Subject has confirmed evidence of knee OA, defined as an angiographic 'blush' pattern (radiographic) in one or more of the target genicular artery(ies). Exclusion Criteria: 1. Severe knee OA (Kellgren-Lawrence grade 4) 2. Current infection of target joint, or 3. Life expectancy less than 24 months, or 4. Known advanced atherosclerosis as defined by history of lower extremity or pelvis arterial bypass graft, lower extremity or pelvis arterial stent placement or prior history of vascular claudication, or 5. Rheumatoid or known serologic diagnosis of autoimmune arthritis, or 6. Prior knee replacement surgery in the target knee, or 7. Complete meniscal or cruciate tear that requires surgery, or 8. History of uncorrectable coagulopathy, or 9. Prior iodinated contrast reaction resulting in anaphylaxis, or 10. Pregnant and/or lactating female, or 11. At the discretion of the Principal Investigator 12. Subject has evidence of arterial occlusion precluding catheterization. 13. Subject has occlusion of the genicular arteries.