Abstract |
37 patients with intractable idiopathic epistaxis were treated with superselective 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 sponge 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 short-term success rate of 94.6%. The long-term follow-up ranged from 1-51 months (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; it was necessary to embolise the ipsilateral facial artery and/or the contralateral internal maxillary as well as the ipsilateral maxillary artery. Although the overall complication rate was 45.0%, no major complications occurred. Superselective embolisation with gelatin sponge is an effective and safe treatment technique for intractable idiopathic epistaxis.
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Authors | T Oguni, Y Korogi, T Yasunaga, T Sadanaga, H Uozumi, K Kawanaka, S Sumi, M Takahashi |
Journal | The British journal of radiology
(Br J Radiol)
Vol. 73
Issue 875
Pg. 1148-53
(Nov 2000)
ISSN: 0007-1285 [Print] England |
PMID | 11144790
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Embolization, Therapeutic
(methods)
- Epistaxis
(diagnostic imaging, etiology, therapy)
- Female
- Gelatin Sponge, Absorbable
(therapeutic use)
- Humans
- Male
- Middle Aged
- Radiography
- Recurrence
- Retrospective Studies
- Risk Factors
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