Angiographic embolization in epistaxis: Our clinical experience and results

dc.contributor.authorCicek, Mehmet Turan
dc.contributor.authorYildirim, Ismail Okan
dc.contributor.authorBayindir, Tuba
dc.contributor.authorSarac, Kaya
dc.contributor.authorTan, Mehmet
dc.contributor.authorAslan, Mehmet
dc.contributor.authorOzer Ozturk, Ebru
dc.date.accessioned2022-02-08T07:56:17Z
dc.date.available2022-02-08T07:56:17Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAbstract: Aim: Nosebleed, more commonly called epistaxis is a general clinical problem, and the most of bleedings can be treated non-invasive approach. However, because of persistent and sometimes life-threatening bleeding, additional treatment such as super-selective embolization may be required. In this study, we report our data on the endovascular treatment of persistent epistaxis. Materials and Methods: Between January 2010 and December 2019, all patients who were followed up at Inonu University Turgut Ozal Medical Center Otorhinolaryngology Clinic due to recurrent persistent nosebleed and required endovascular treatment were retrospectively screened. Demographic data, cause of epistaxis, localization of the bleeding, the clinical significance of the bleeding, interventional approach, complications related to treatment, and results were evaluated. Results: All of 18 patients with intractable epistaxis were included in the study. Depending on the etiology of epistaxis, patients were determined into three groups: idiopathic epistaxis (10/18), iatrogenic or traumatic epistaxis (7/18), and nasopharyngeal cancer (1/18). Nine of 18 patients required blood transfusions. The internal maxillary artery was embolized unilaterally in 12 of 18 (66%) and bilaterally in 2 of 18 (11%) procedures. Four patients were not embolized because of bleeding originated from ethmoidal branches of the ophthalmic artery. These four patients were operated on (endoscopic ethmoidectomy and bleeding control). Long-term success rates of embolization were 14 of 14. Major complications (transient hemiparesis) occurred in one patient after embolization. Conclusion: Endovascular approach proves to be effective for intractable and fatal epistaxis. Embolization has a good risk-benefit ratio in persistent bleeding. However, if bleeding is originated by the ethmoidal branches of the ophthalmic artery, embolization may not be performed to avoid visual complications.en_US
dc.identifier.citationCÄ°CEK M. T,YÄ°LDÄ°RÄ°M I. O,BAYÄ°NDÄ°R T,SARAC K,TAN M,ASLAN M,OZTURK E. O (2021). Angiographic embolization in epistaxis: Our clinical experience and results. Annals of Medical Research, 28(11), 2103 - 2106.en_US
dc.identifier.doi10.5455/annalsmedres.2021.03.221en_US
dc.identifier.endpage2106en_US
dc.identifier.issn2636-7688
dc.identifier.issue11en_US
dc.identifier.startpage2103en_US
dc.identifier.trdizinid482804en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2021.03.221
dc.identifier.urihttps://hdl.handle.net/11616/46801
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/482804
dc.identifier.volume28en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleAngiographic embolization in epistaxis: Our clinical experience and resultsen_US
dc.typeArticleen_US

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