Korean J Otorhinolaryngol-Head Neck Surg.  2015 Apr;58(4):257-260. 10.3342/kjorl-hns.2015.58.4.257.

Selective Arterial Embolization in Intractable Recurrent Epistaxis: A Clinical Analysis with Literature Review

• Choi MS
• Park SG
• Park NS
• Kim JC
• Lee HY
• Chang DS
• Cho CS
• Kim AY

• KMID: 2277848
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.4.257

Abstract

BACKGROUND AND OBJECTIVES
Epistaxis usually responds to conservative therapy such as nasal packing or electrocauterization. But sometimes more invasive techniques such as selective embolization is justified. We report our experience of 10 patients with selective endovascular embolization for refractory epistaxis.
SUBJECTS AND METHOD
Ten patients were referred for selective arterial embolization for refractory epistaxis. Medical records were reviewed for clinical data, recurrence, and complication.
RESULTS
Early rebleeding requiring treatment occurred in 1 patient (10%) and initial success rate of embolization was 90%. There was no major complication. Minor complications such as mild fever, groin pain, and voiding difficulty occurred in 2 patients (20%).
CONCLUSION
Selective arterial embolization for refractory epistaxis is safe and effective for treatment of refractory intractable epistaxis.

Keyword

Embolization; Epistaxis; Nose

MeSH Terms

Epistaxis*
Fever
Groin
Humans
Medical Records
Nose
Recurrence