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  Vol. 119 No. 8, August 1993 TABLE OF CONTENTS
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Embolization for the treatment of posterior epistaxis. An analysis of 31 cases

T. M. Siniluoto, A. S. Leinonen, A. I. Karttunen, H. K. Karjalainen and K. E. Jokinen
Department of Diagnostic Radiology, University Central Hospital of Oulu, University of Oulu, Finland.

Thirty-one patients with posterior epistaxis refractory to nasal packing alone or in combination with surgical ligation (n = 8) underwent diagnostic angiography and therapeutic embolization of the internal maxillary artery. Embolization resulted in the cure of epistaxis in 22 cases (71.0%). Of the nine failures (29.0%), seven underwent successful surgical clipping of the ethmoid arteries, and two were treated conservatively and died of their primary hematologic disease within 33 days. Late rebleeding occurred in two patients: one underwent re-embolization and the other was treated surgically. No severe or permanent complications occurred. The results indicate that embolization is a feasible alternative to surgical intervention for patients with posterior epistaxis, and we recommend it as the treatment of choice in cases with high surgical risk or failure of prior arterial ligation.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Endovascular Treatment of Acute and Subacute Hemorrhage in the Head and Neck
Remonda et al.
Arch Otolaryngol Head Neck Surg 2000;126:1255-1262.
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