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Endovascular Embolization for Control of Post-Tonsillectomy Hemorrhage
Alanna M Windsor1, Liuba Soldatova2, Lisa Elden3,2
1Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, Bronx, USA.
Cureus
|March 17, 2021
Summary
Severe post-tonsillectomy bleeding in a child was successfully treated with endovascular coil embolization of the tonsillar artery when surgery failed. This minimally invasive approach offers an effective solution for life-threatening hemorrhage.
Area of Science:
- Otolaryngology
- Interventional Radiology
- Pediatric Surgery
Background:
- Post-tonsillectomy hemorrhage is a serious complication requiring prompt management.
- Traditional surgical hemostasis methods may be insufficient for severe bleeding.
- Endovascular techniques offer an alternative for refractory cases.
Observation:
- A 10-year-old female experienced severe post-tonsillectomy hemorrhage.
- Surgical hemostasis with electrocautery was unsuccessful.
- Angiography revealed right tonsillar artery irregularity and vasospasm.
Findings:
- Successful coil embolization of the affected tonsillar artery was performed.
- The patient achieved complete hemostasis without further bleeding.
- This case highlights the efficacy of endovascular embolization.
Implications:
- Endovascular embolization is a viable treatment for pediatric post-tonsillectomy hemorrhage.
- It should be considered when surgical control is ineffective.
- Multidisciplinary collaboration is crucial for successful outcomes.
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