Angiographic embolization for refractory epistaxis
摘要
Objective:To assesstheroleof angiographicembolizationin treatmentof refractoryepistaxis.Methods:The diagnosticandtherapeuticroleof digitalsubtractionangiography(DSA)in13patientswithrefractoryepistaxiswereretro-spectivelystudied.Results:Pseudoaneurysmof carotidarterywasconfirmedin3of the13patientswithrefractoryepis-taxiswithangiography.Selectiveangiographicembolizationwasperformedin12/13patients.Thesuccessratewas91.67%(11/12).Patientsweretolerantto theuseof DSAwithoutseverecomplications.Conclusion:Selectiveangiographicem-bolizationis a safeandeffectivemethodintreatmentof refractoryepistaxis.In caseof traumaticepistaxiswithineffective conservativetreatmentor recurrentepistaxis,preoperativeangiographyshouldbe performedto ruleoutpseudoaneurysmof carotidartery.