Angiographic Embolization for Epistaxis: A Review of 114 Cases

Abstract

Angiography with selective embolization has become an accepted method of treating posterior epistaxis that is not controlled with conservative measures. The authors reviewed 112 cases of patients who had received selective angiographic embolization for refractory epistaxis from January 1990 to December 1995. There were 114 embolizations over this 5-year period. The immediate success rate was 93%, with long-term success achieved in 88% of patients. The overall complication rate was 17%, with the long-term morbidity rate less than 1%. Selective angiographic embolization is a safe and effective method that should be considered in the treatment of refractory epistaxis.

Vape Till Your Nose Bleed

“…Angiographic embolization is becoming more common and the result is about 90 percent successful rate. 8,9 However, there are 4percent rate of severe complications like stroke and blindness with embolization. 10 In this case study, we were unable to detect any obvious causes that may lead this patient to have an anterior nasal airway spontaneous intractable epistaxis episodes besides his prior engagement in vaping habit.…”

Tratamento cirúrgico de nasoangiofibroma sem embolização

“…Most papers in the literature comparing surgical treatment with and without embolization have demonstrated reduced intraoperative blood loss and fewer blood transfusions when embolization is done 10,12 . Blood loss is reduced by 836 to 1200 ml per non-embolized patient; and by 400 to 600 ml per embolized patient [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] . In terms of blood transfusion, the values ranged between 3 and 4.4 units of red cell pack per patient in the non-embolized group, when compared to 0 to 2 units in the group of embolized patients [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] .…”

“…Maxillary artery embolization is a relatively safe invasive procedure. Complication rates may be as high as 27%20, most of which are temporary 21 in spite of the few (2%) severe ones 22 . Such complications may include occlusion of the central retinal artery and consequent temporary blindness 23 , oronasal fistula due to tissue necrosis 24 , occlusion of the middle cerebral artery followed by stroke, and occlusion of the ophthalmic artery 25 .…”

“…Such complications may include occlusion of the central retinal artery and consequent temporary blindness 23 , oronasal fistula due to tissue necrosis 24 , occlusion of the middle cerebral artery followed by stroke, and occlusion of the ophthalmic artery 25 . Preoperative embolization may cost between USD 2,000 and USD 11,000 20,21,27 , being therefore a procedure that most public and non-profit hospitals in Brazil cannot afford. We could not find indexed papers discussing the costs of this procedure in Brazil.…”

Interventional Neuroradiology of the Head and Neck

“…39,41 The most common cause of the failure of this technique is bleeding from the anterior ethmoidal artery. 39,42 Recurrent bleeding is not uncommon in patients with HHT; however, embolization often decreases the severity of hemorrhage and improves the quality of life in these patients. 40 Complications resulting from the treatment are usually minor, including groin hematoma, facial numbness, mucosal necrosis, and sinusitis.…”