Endovascular Treatment of Epistaxis

Rebecca Scroop; Chrystel Venturini; Joon Song; Joseph M. Eskridge

doi:10.1055/s-2003-38108

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2003; 20(1): 051-058
DOI: 10.1055/s-2003-38108

Endovascular Treatment of Epistaxis

Rebecca Scroop¹ , Chrystel Venturini² , Joon Song² , Joseph M. Eskridge²

¹Fellow in Neuroradiology, Department of Radiology, University of Washington Medical Center
²Department of Radiology, University of Washington Medical Center, Seattle, Washington

Abstract

ABSTRACT

Epistaxis is a common problem that occurs in 60% of the population. We reviewed 119 cases with epistaxis refractory to conventional medical therapy treated between January 1987 and October 2001. They underwent selective angiographic embolization. The success rate was near 100% when bilateral internal maxillary and bilateral facial arteries were embolized. No major complications were encountered. Embolization should be considered as the treatment of choice for refractory primary epistaxis and for many cases of secondary epistaxis.

KEYWORDS

Epistaxis - embolization

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Referenzen

REFERENCES

1 Small M, Murray J, Maran A. A study of patients with epistaxis requiring admission to hospital. Health Bull (Edinb) . 1982; 40 24-29
2 Osborn A. The nasal arteries. AJR Am J Roentgenol . 1978; 130 89-97
3 Parnes L S, Heeneman H, Vinuela F. Percutaneous embolization for control of nasal blood circulation. Laryngoscope . 1987; 97 1312-1315
4 Mohammed M E, Parnes L S, Fox A J, Pelz D M, Lee D H. Therapeutic embolization in the treatment of intractable epistaxis. Arch Otolaryngol Head Neck Surg . 1995; 121 65-69
5 Sudoff H, Stark T, Luckhaupt H, Knorz S, Borkowski G. Clinical note: massive epistaxis after rupture of intracavernous carotid artery aneurysm. Ann Otol Rhinol Laryngol . 2000; 109 776-778
6 Kim J, Putman C, Farkas J, Varvares M. Imaging case study of the month. Paraclinoid internal carotid artery aneurysm presenting as massive epistaxis. Ann Otol Rhinol Laryngol . 2000; 109 782-786
7 Williams P M, Traquina D, Wallace R, Niezgoda J. Coil embolization of a ruptured carotid pseudoaneurysm presenting as epistaxis-pediatric otolaryngology: principles and practice. Am J Otolaryngol . 2000; 21 38-42
8 Schaitkin B, Strauss M, Houck J K, Hershey P A. Epistaxis: medical surgical therapy-a comparison of efficacy, complications and economic considerations. Laryngoscope . 1987; 97 1392-1397
9 Wang L, Vogel D M. Posterior epistaxis: comparison of treatment. Otolaryngol Head Neck Surg . 1981; 89 1001-1006
10 Metson R, Lane R. Internal maxillary artery ligation for epistaxis: an analysis of failures. Laryngoscope . 1988; 98 760-764
11 Vitek J J. Idiopathic intractable epistaxis: endovascular therapy. Radiology . 1991; 181 113-116
12 Sokoloff J, Wickbom I, McDonald D. Therapeutic percutaneous embolization in intractable epistaxis. Radiology . 1974; 111 285-287
13 Tseng E, Narducci C A, Willing S J, Sillers M J. Angiographic embolization for epistaxis: a review of 114 cases. Laryngoscope . 1998; 108 615-619
14 Strong E B, Bell D A, Johnson L P, Jacobs J M. Intractable epistaxis: transantral ligation vs. embolization-efficacy review and cost analysis. Otolaryngol Head Neck Surg . 1995; 113 674-678
15 Elhai M M, Parnes L S, Fox A J, Pelz D M, Lee D H. Therapeutic embolization in the treatment of intractable epistaxis. Arch Otolaryngol Head Neck Surg . 1995; 121 65-69
16 Merland J J, Melki J P, Chiras J. Place of embolization in the treatment of severe epistaxis. Laryngoscope . 1987; 97 1312-1315
17 Elden L, Montanera W, Terbrugge K. Angiographic embolization for the treatment of epistaxis: a review of 108 cases. Otolaryngol Head Neck Surg . 1994; 111 44-50