Selective Arterial Embolization in Intractable Recurrent Epistaxis: A Clinical Analysis with Literature Review.
10.3342/kjorl-hns.2015.58.4.257
- Author:
Myoung Su CHOI
1
;
Seung Gu PARK
;
No Seon PARK
;
Ji Chan KIM
;
Ho Yun LEE
;
Dong Sik CHANG
;
Chin Saeng CHO
;
Ah Young KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Eulji University, Daejeon, Korea. kimayong@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Embolization;
Epistaxis;
Nose
- MeSH:
Epistaxis*;
Fever;
Groin;
Humans;
Medical Records;
Nose;
Recurrence
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2015;58(4):257-260
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Epistaxis usually responds to conservative therapy such as nasal packing or electrocauterization. But sometimes more invasive techniques such as selective embolization is justified. We report our experience of 10 patients with selective endovascular embolization for refractory epistaxis. SUBJECTS AND METHOD: Ten patients were referred for selective arterial embolization for refractory epistaxis. Medical records were reviewed for clinical data, recurrence, and complication. RESULTS: Early rebleeding requiring treatment occurred in 1 patient (10%) and initial success rate of embolization was 90%. There was no major complication. Minor complications such as mild fever, groin pain, and voiding difficulty occurred in 2 patients (20%). CONCLUSION: Selective arterial embolization for refractory epistaxis is safe and effective for treatment of refractory intractable epistaxis.
