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Percutaneous embolization to control intractable epistaxis.

P I Wills, R D Russell

    The Laryngoscope
    |September 1, 1979
    PubMed
    Summary
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    Severe nosebleeds in patients with bleeding disorders can be treated effectively with a minimally invasive procedure. Percutaneous Gelfoam embolization of the internal maxillary arteries offers a safe and advantageous alternative to surgery for intractable epistaxis.

    Area of Science:

    • Vascular Surgery
    • Interventional Radiology
    • Hematology

    Background:

    • Recurrent epistaxis is a frequent symptom in patients diagnosed with a bleeding diathesis.
    • Traditional management often involves local conservative techniques, which may not always be effective.
    • Specific bleeding diatheses, such as polycythemia vera and liver failure due to hepatoma, can present with severe epistaxis.

    Observation:

    • A case involving bilateral, percutaneous carotid angiography was performed on a patient experiencing intractable epistaxis secondary to a bleeding diathesis.
    • During the angiographic examination, embolization of both internal maxillary arteries was successfully performed using Gelfoam particles.
    • This intervention resulted in dramatic and effective control of the epistaxis.

    Findings:

    Related Experiment Videos

    • Percutaneous Gelfoam embolization of the internal maxillary arteries provides a successful treatment for severe epistaxis in patients with bleeding diatheses.
    • This interventional radiology technique achieved significant control in cases unresponsive to conventional local measures.
    • The procedure demonstrated considerable advantages when compared to surgical interventions for epistaxis management.

    Implications:

    • Percutaneous Gelfoam embolization represents a valuable therapeutic option for managing severe epistaxis in patients with underlying bleeding disorders.
    • This minimally invasive approach offers a potentially safer and more effective alternative to surgical treatment.
    • The findings suggest a shift towards endovascular techniques for complex epistaxis cases in hematology and vascular surgery.