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[Endovascular embolization treatment for intractable epistaxis]

G E Klein1, W Köle, R Karaic

  • 1Universitätsklinik für Radiologie, Karl-Franzens-Universität Graz.

Laryngo- Rhino- Otologie
|February 1, 1997
PubMed
Summary

Endovascular embolotherapy effectively treats intractable epistaxis, offering a safe and minimally invasive alternative to surgery. This procedure achieved a 100% clinical success rate in patients with persistent nosebleeds.

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Area of Science:

  • Interventional Radiology
  • Vascular Surgery

Background:

  • Intractable epistaxis (nosebleeds) traditionally managed with surgery.
  • Endovascular therapy presents a less invasive alternative for epistaxis treatment.

Purpose of the Study:

  • Evaluate the efficacy and safety of endovascular embolotherapy for intractable epistaxis.

Main Methods:

  • Embolotherapy performed on 26 patients with persistent epistaxis unresponsive to nasal packing.
  • Internal maxillary artery embolization via microcatheters under local anesthesia (mostly).
  • Particulate embolic agents or minicoils used for embolization.

Main Results:

  • Successful embolization of the internal maxillary artery in all cases.
  • 96% technical success and 100% clinical success rate.

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  • No complications reported; one patient required a second embolization for recurrent bleeding.

    • Conclusions:

    • Endovascular embolotherapy is a safe and effective treatment for intractable epistaxis.
    • Offers a less invasive option compared to surgical interventions.
    • High success rates suggest suitability for managing severe nosebleeds.