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Invasive procedure for intractable epistaxis in an old comorbid woman: a case report
F Fabbian1, F Bonetti, A De Giorgi
1Clinica Medica, Department of Neuroradiology, Azienda Ospedaliera-Universitaria, Ferrara, Italy. f.fabbian@ospfe.it
La Clinica Terapeutica
|May 24, 2013
Summary
Severe epistaxis can be life-threatening, but this case shows successful treatment using superselective embolization of the internal maxillary artery in a comorbid elderly patient. This interventional radiology technique offers a viable option for managing severe nosebleeds.
Area of Science:
- Interventional Radiology
- Vascular Surgery
Background:
- Epistaxis, or nosebleeds, is typically self-limiting but can rarely be life-threatening.
- Management of severe and recurrent epistaxis often requires advanced interventions.
Observation:
- A 73-year-old comorbid female patient presented with severe and recurrent epistaxis.
- Conservative treatments were insufficient for her condition.
Findings:
- The patient underwent successful superselective catheterism and embolization of the internal maxillary artery.
- This minimally invasive procedure effectively controlled the severe epistaxis.
Implications:
- Superselective embolization is a crucial treatment option for refractory epistaxis.
- Understanding underlying causes, including medication side effects, is vital for comprehensive patient care.
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