Endovascular treatment of epistaxis.
OBJECTIVE
Embolization of external carotid vessels in the treatment of intractable epistaxis is not well documented in Australasia. The aim of the present retrospective study was to audit our experience with the technique, and to compare it with other centres.


METHODS
Retrospective review.


RESULTS
Twenty-nine embolizations were performed in 28 patients. Embolization was successful in 24 out of 28 patients (86%). Three patients required ligation of the anterior ethmoidal arteries, one of whom subsequently underwent successful repeat embolization. There were minor complications in 6/29 procedures (21%), and no major complications.


CONCLUSIONS
Our outcomes compare favourably with those of larger centres. Embolization is an effective tool in the management of patients with intractable epistaxis.
Vokes
David E
DE
Department of Otorhinolaryngology--Head and Neck Surgery, Green Lane Hospital, Auckland, New Zealand. dvokes@adhb.govt.nz
McIvor
Nicholas P
NP
Wattie
W John
WJ
Chaplin
John M
JM
Morton
Randall P
RP
D000328:Adult; D000368:Aged; D002342:Carotid Artery, External; D004621:Embolization, Therapeutic / Q000009:adverse effects; D004844:Epistaxis / Q000628:therapy*; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D012189:Retrospective Studies; D016896:Treatment Outcome