Superselective embolisation for intractable idiopathic epistaxis

Citation
T. Oguni et al., Superselective embolisation for intractable idiopathic epistaxis, BR J RADIOL, 73(875), 2000, pp. 1148-1153
Citations number
27
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging","Medical Research Diagnosis & Treatment
Journal title
BRITISH JOURNAL OF RADIOLOGY
ISSN journal
0007-1285 → ACNP
Volume
73
Issue
875
Year of publication
2000
Pages
1148 - 1153
Database
ISI
SICI code
Abstract
37 patients with intractable idiopathic epistaxis were treated with superse lective embolisation between 1995 and 1999. A total of 40 embolisations was performed, including three procedures for recurrence. The embolic material was gelatin sponge in 27 procedures, microcoils in 9 and both gelatin spon ge and microcoils in 4. Immediate cessation of nasal bleeding was obtained in all patients after embolisation. Recurrent epistaxis occurred in 2 (5.4% ) of the 37 patients within 7 days after initial embolisation, giving a sho rt-term success rate of 94.6%. The long-term follow-up ranged from 1-51 mon ths (mean 21.6 months). Late re-bleeding occurred in two patients, giving a long-term success rate of 94.6%. Two patients underwent re-embolisation; i t was necessary to embolise the ipsilateral facial artery and/or the contra lateral internal maxillary as well as the ipsilateral maxillary artery. Alt hough the overall complication rate was 45.0%, no major complications occur red. Superselective embolisation with gelatin sponge is an effective and sa fe treatment technique for intractable idiopathic epistaxis.