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[Percutaneous embolization therapy in severe cervicofacial hemorrhages]
B Kramann1, L Defreyne, G Schneider
1Abteilung für Radiodiagnostik, Radiologische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|January 1, 1997
Summary
Transcatheter embolisation effectively treats severe head and neck bleeding. This minimally invasive procedure achieved haemostasis in most patients with epistaxis, vascular malformations, tumours, and other causes.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Otolaryngology
Background:
- Head and neck haemorrhage presents significant clinical challenges.
- Transcatheter embolisation offers a minimally invasive treatment option.
Purpose of the Study:
- To analyse the efficacy and outcomes of transcatheter embolisation for various head and neck bleeding sources.
Main Methods:
- Retrospective analysis of 43 patients treated with transcatheter embolisation between 1987 and 1995.
- Inclusion of diverse pathologies: epistaxis, iatrogenic/traumatic bleeding, vascular malformations, tumours, aneurysms, and goitre.
Main Results:
- Successful embolisation achieved in 11/13 idiopathic epistaxis cases.
- Haemostasis in 8/9 traumatic/iatrogenic bleeds; 6/7 vascular malformations showed long-lasting control.
- Palliative embolisation effective in 10/12 tumour-related bleeds; aneurysm and goitre bleeds were definitively stopped.
- Complications included two transient neurological disturbances and one permanent amaurosis.
Conclusions:
- Transcatheter embolisation is a highly effective treatment for life-threatening head and neck bleeding.
- The procedure demonstrates broad applicability across a range of vascular and neoplastic pathologies in the head and neck region.