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Endovascular Embolization for Epistaxis: A Single Center Experience and Meta-Analysis
Kareem El Naamani1, Charles Morse1, Marc Ghanem2
1Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Journal of Clinical Medicine
|November 25, 2023
Summary
Endovascular embolization is a safe and effective treatment for severe nosebleeds (epistaxis). This study found a high success rate with a low risk of rebleeding and post-operative stroke.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Otolaryngology
Background:
- Intractable epistaxis treatment remains debated.
- Endovascular embolization shows promise for efficacy and safety.
Purpose of the Study:
- To evaluate the institutional experience and meta-analysis of endovascular embolization for intractable epistaxis.
- Assess the efficacy and safety of the procedure.
Main Methods:
- Retrospective observational study of 35 patients (40 procedures) from 2010-2023.
- Meta-analysis of 41 studies including 1632 patients.
- Primary outcome: immediate cessation of epistaxis.
Main Results:
- Institutional: 97.5% immediate success, 7.5% rebleed rate.
- Meta-analysis: 90.9% pooled immediate success, 17% pooled rebleed rate.
- Low risk of post-operative stroke observed.
Conclusions:
- Endovascular embolization is a safe and effective treatment for intractable epistaxis.
- The procedure demonstrates high success rates and low complication risks.
