Article
Embolisation in Epistaxis - One alternative therapy?: evaluation from 1996 to 2004
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Published: | September 22, 2005 |
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Objective: From 1996 to 2004 we investigated 3185 patients suffering from epsitaxis/nosebleed: Based on a retrospective analyse we want to explain and discuss the benefit of use of embolisation.
Material and methods: From 1996 to 2004 we treated 3185 patients with epistaxis. 1,25 percent (40) of these patients were treated with embolisation, 0,1 percent (3) of them with embolisation of both sides. Embolisation was done distal of maxillary or the sphenopalatine artery with microparticles of polyvinyl alcohol foam (PVA, 150-250 m).
Results: In all cases treated with embolisation (40) the severe nosebleed was stopped. Complications, f.i. necrosis of lateral nosewall were not observed.
Conclusions: In case of severe epistaxis embolisation is a gentle and relative sure therapeutic option with only a few complications. In view of the increasing pressure of cost reduction this method is a possibility of a sure and fast therapy.