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[Super-selective arteriography and embolization in severe epistaxis]

R Djindjian, J J Merland, J Théron

    Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
    |January 1, 1976
    PubMed
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    Super-selective arteriography reveals external carotid artery collaterals, explaining why some arterial ligatures fail for epistaxis. Embolization is presented as a fast, effective treatment for severe nosebleeds and O.-R.-L. tumors.

    Area of Science:

    • Interventional Radiology
    • Vascular Imaging
    • Head and Neck Surgery

    Background:

    • Epistaxis (nosebleeds) can be severe and difficult to treat.
    • External carotid artery (ECA) anatomy includes numerous collateral vessels.
    • Arterial ligatures are sometimes ineffective for controlling epistaxis.

    Purpose of the Study:

    • To describe a super-selective arteriography technique for visualizing ECA collaterals.
    • To evaluate embolization as a treatment for epistaxis and O.-R.-L. tumors.

    Main Methods:

    • Super-selective arteriography of external carotid artery branches.
    • Detailed imaging of fine collateral vessels and anastomoses.
    • Case studies of embolization for severe epistaxis and tumors.

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    Main Results:

    • The technique effectively visualizes fine collateral branches of the ECA.
    • Identified anastomoses explain the failure of certain arterial ligatures.
    • Embolization demonstrated to be a rapid, elegant, and permanent solution for severe epistaxis.

    Conclusions:

    • Super-selective arteriography is crucial for understanding epistaxis etiology.
    • Embolization is a highly effective treatment for severe epistaxis and related conditions.
    • This interventional technique offers a definitive solution for challenging vascular malformations.