|
KMID : 0390220190300010062
|
|
Journal of Clinical Otolaryngology, Head and Neck Surgery
2019 Volume.30 No. 1 p.62 ~ p.67
|
|
|
Refractory Epistaxis Treated with Selective Arterial Embolization : A Clinical Analysis of 13 Cases
|
|
Lee Ju-Han
Choi Byung-Gil
Kim Byeong-Joon
Lee Jun-Young
Kim Sun-Mi
Kim Jeong-Eun
Jung Hye-Doo
Jung Hye-Doo
Kong Il-Gyu
|
|
|
Abstract
|
|
|
Background and Objectives：We analyzed the clinical data of 13 patients with selective arterial embolization for refractory epistaxis and reported the results.
Materials and Methods：Data from 13 patients who underwent selective arterial embolization for refractory epistaxis between 2009 and 2016 at Hallym University Sacred Heart Hospital were retrospectively reviewed. In all patients, initial epistaxis control by cauterization or posterior packing was ineffective. Selective arterial embolization was conducted by intervention specialist of radiology department.
Embolization procedure was done at extravascular leakage of contrast sites using PVCs, gelfoams and caligels.
Results：The mean age of 13 patients (9 men and 4 women) was 51.2±7.58 years. Success rate of embolization for bleeding control was 92.3% (12 patients). In one patient, epistaxis recurred immediately after embolization, re-embolization was carried out successfully. No serious complications after embolization were reported in our cases. Selective arterial embolization has a success rate of 71-97% as studies and our study showed similar high rate (92.3%) without complications.
Conclusions：If readily available, selective arterial embolization can be considered an effective treatment option for intractable nasal bleeding.
|
|
|
KEYWORD
|
|
|
Refractory epistaxis, Embolization, Sphenopalatine artery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|