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Superselective embolisation for intractable idiopathic epistaxis.

T Oguni¹, Y Korogi, T Yasunaga

¹Department of Radiology, Kumamoto National Hospital, 1-5 Ninomaru Kumamoto, 860-0008, Japan.

The British Journal of Radiology

|January 6, 2001

Summary

Superselective embolisation effectively treats intractable idiopathic epistaxis. This minimally invasive procedure using gelatin sponge achieved a 94.6% success rate, offering a safe and reliable option for patients with severe nosebleeds.

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Area of Science:

Interventional Radiology
Otorhinolaryngology

Background:

Intractable idiopathic epistaxis poses significant management challenges.
Superselective embolisation has emerged as a potential treatment modality.

Purpose of the Study:

To evaluate the efficacy and safety of superselective embolisation for intractable idiopathic epistaxis.
To assess both short-term and long-term outcomes of the procedure.

Main Methods:

Retrospective analysis of 37 patients with intractable idiopathic epistaxis treated between 1995 and 1999.
Superselective embolisation performed using gelatin sponge, microcoils, or both.
Follow-up ranged from 1 to 51 months.

Main Results:

Immediate cessation of epistaxis in all patients.

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Short-term success rate of 94.6% with only 2 recurrences within 7 days.

Long-term success rate of 94.6% with two late re-bleeding events.

Overall complication rate of 45.0% with no major complications reported.

Conclusions:

Superselective embolisation, particularly with gelatin sponge, is an effective and safe treatment for intractable idiopathic epistaxis.
The procedure demonstrates high success rates for both short-term and long-term management.
Further research may explore optimizing embolic agents and techniques to minimize recurrence and complications.