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Treatment of intractable epistaxis using arterial embolization
N Scaramuzzi1, R M Walsh, P Brennan
1Department of Otolaryngology/Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Clinical Otolaryngology and Allied Sciences
|September 18, 2001
Summary
Arterial embolization effectively treated intractable epistaxis in 82% of patients. This minimally invasive procedure offers a safe and successful alternative to arterial ligation for severe nosebleeds.
Area of Science:
- Otolaryngology
- Vascular Surgery
- Interventional Radiology
Background:
- Intractable epistaxis management varies globally.
- Arterial embolization is a preferred treatment in North America and Europe.
- The efficacy of arterial embolization for epistaxis in Ireland is not well-established.
Purpose of the Study:
- To evaluate the outcomes of arterial embolization for intractable epistaxis in Dublin.
- To assess the safety and effectiveness of this interventional radiology technique.
Main Methods:
- Retrospective study of patients undergoing arterial embolization for epistaxis.
- Data collection on treatment success, complications, and need for alternative procedures.
- Analysis of patient outcomes since the introduction of embolization in 1998.
Main Results:
- Arterial embolization achieved complete and immediate epistaxis resolution in 10 out of 12 patients (82%).
- Two patients (17%) required subsequent carotid ligation due to persistent epistaxis.
- One patient experienced minor re-bleeding, successfully managed with cautery; no major complications were reported.
Conclusions:
- Arterial embolization is a safe and effective treatment for intractable epistaxis.
- It represents a viable alternative to arterial ligation, with a high success rate.
- Further studies can solidify its role in managing severe epistaxis in the region.