Arterial embolizacion in the treatment of intractable epistaxis
DOI:
https://doi.org/10.34631/sporl.158Keywords:
Epistaxis, Supraselective embolizationAbstract
The aim of this work is to report our experience of supraselective embolization in the treatment of intractable epistaxis. We carry out a retrospective review of 13 patients, 11 men and two women, sent to the Vascular and Interventional Radiology Unit of the Otorhinolaryngology Department, between May 2002 and August 2008 for refractory epistaxis of the anteroposterior nasal packing, and who were treated with distal embolization of both internal maxillary arteries. In 12 patients (92%) nosebleeds did not return, and in one case (8%) the infiltration of the Etoxiesclerol post-embolization was necessary to control a new episode of epistaxis. Among the side-effects referred to, there was only one case of intense temporofacial pain following the endovascular procedure. We do a review of literature and present our conclusions.
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