Angiography and Embolization of the Internal Maxillary Artery for Posterior Epistaxis

Arterial Embolization in the Management of Posterior Epistaxis

“…While the incidence is low, the significance and morbidity is quite high. This incidence is compatible with other complication rates reported in the literature 4 , 6 , 7–27 . Other medical complications encountered in the treatment of epistaxis have included local complications: septal perforation, sinusitis, facial numbness, and otitis media 5 , 12 , 13 , 17 .…”

“…Ten patients had later rebleeds that required some form of intervention, most often packs or cauterization. The ability of angiographic embolization to control epistaxis in the acute setting in 88% of patients is comparable with other reports using embolization 4 , 6 , 7–27 . It is also comparable with other modalities, such as anterior posterior packing, sphenoid artery ligation, or endoscopic management.…”

Arterial Embolization in the Management of Posterior Epistaxis

“…While the incidence is low, the significance and morbidity is quite high. This incidence is compatible with other complication rates reported in the literature 4 , 6 , 7–27 . Other medical complications encountered in the treatment of epistaxis have included local complications: septal perforation, sinusitis, facial numbness, and otitis media 5 , 12 , 13 , 17 .…”

“…Ten patients had later rebleeds that required some form of intervention, most often packs or cauterization. The ability of angiographic embolization to control epistaxis in the acute setting in 88% of patients is comparable with other reports using embolization 4 , 6 , 7–27 . It is also comparable with other modalities, such as anterior posterior packing, sphenoid artery ligation, or endoscopic management.…”

Conservative management of epistaxis

“…The rate of complications with embolisation is variable depending on the series. Robertson and Reardon (1979) did not find any serious complication in 10 cases, while Merland et al (1980) reported a case of facial palsy; this was also mentioned by DeVries et al (1986). The overall frequency and seriousness of these complications (peripheral facial palsy, necrosis of hard palate, intense pain, etc) discourage the procedure until a safer technique is available.…”

Angiographic Embolization for Epistaxis: A Review of 114 Cases

“…If there are complications or any problems, we follow the patients for as long as necessary. Nasakinus surgery 10 Complications of embolizations can be divided into major and minor. The major complications include cerebral vascular accidents, blindness, ophthalmoplegia, facial nerve palsy, and necrosis of soft tissues.6 Minor complications are transient and include facial pain, headaches, mental confusion, paresthesia, jaw pain, groin pain, numbness, and facial edema.…”

Arterial Embolization in the Management of Posterior Epistaxis

“…While the incidence is low, the significance and morbidity is quite high. This incidence is compatible with other complication rates reported in the literature 4 , 6 , 7–27 . Other medical complications encountered in the treatment of epistaxis have included local complications: septal perforation, sinusitis, facial numbness, and otitis media 5 , 12 , 13 , 17 .…”

“…Ten patients had later rebleeds that required some form of intervention, most often packs or cauterization. The ability of angiographic embolization to control epistaxis in the acute setting in 88% of patients is comparable with other reports using embolization 4 , 6 , 7–27 . It is also comparable with other modalities, such as anterior posterior packing, sphenoid artery ligation, or endoscopic management.…”

Conservative management of epistaxis

“…The rate of complications with embolisation is variable depending on the series. Robertson and Reardon (1979) did not find any serious complication in 10 cases, while Merland et al (1980) reported a case of facial palsy; this was also mentioned by DeVries et al (1986). The overall frequency and seriousness of these complications (peripheral facial palsy, necrosis of hard palate, intense pain, etc) discourage the procedure until a safer technique is available.…”

Angiographic Embolization for Epistaxis: A Review of 114 Cases

“…If there are complications or any problems, we follow the patients for as long as necessary. Nasakinus surgery 10 Complications of embolizations can be divided into major and minor. The major complications include cerebral vascular accidents, blindness, ophthalmoplegia, facial nerve palsy, and necrosis of soft tissues.6 Minor complications are transient and include facial pain, headaches, mental confusion, paresthesia, jaw pain, groin pain, numbness, and facial edema.…”

Arterial Embolization in the Management of Posterior Epistaxis

“…While the incidence is low, the significance and morbidity is quite high. This incidence is compatible with other complication rates reported in the literature 4 , 6 , 7–27 . Other medical complications encountered in the treatment of epistaxis have included local complications: septal perforation, sinusitis, facial numbness, and otitis media 5 , 12 , 13 , 17 .…”

“…Ten patients had later rebleeds that required some form of intervention, most often packs or cauterization. The ability of angiographic embolization to control epistaxis in the acute setting in 88% of patients is comparable with other reports using embolization 4 , 6 , 7–27 . It is also comparable with other modalities, such as anterior posterior packing, sphenoid artery ligation, or endoscopic management.…”

Conservative management of epistaxis

“…The rate of complications with embolisation is variable depending on the series. Robertson and Reardon (1979) did not find any serious complication in 10 cases, while Merland et al (1980) reported a case of facial palsy; this was also mentioned by DeVries et al (1986). The overall frequency and seriousness of these complications (peripheral facial palsy, necrosis of hard palate, intense pain, etc) discourage the procedure until a safer technique is available.…”

Angiographic Embolization for Epistaxis: A Review of 114 Cases

“…If there are complications or any problems, we follow the patients for as long as necessary. Nasakinus surgery 10 Complications of embolizations can be divided into major and minor. The major complications include cerebral vascular accidents, blindness, ophthalmoplegia, facial nerve palsy, and necrosis of soft tissues.6 Minor complications are transient and include facial pain, headaches, mental confusion, paresthesia, jaw pain, groin pain, numbness, and facial edema.…”