title: Superselective angiographic embolization for intractable epistaxis.
abstract: CONCLUSIONS
  Routine embolization of the ipsilateral facial artery (FA) is effective because of the high success rate. The use of different embolic materials for the internal maxillary artery (IMA) and the FA was considered safe because of the absence of major complications.
  
  
  OBJECTIVE
  To evaluate outcomes of routine embolization of the FA as well as the IMA ipsilateral to the bleeding site for intractable epistaxis, and outcomes using different embolic materials for the FA and the IMA.
  
  
  METHODS
  Twenty-two patients with intractable epistaxis who underwent superselective embolization were retrospectively analyzed with a mean follow-up of 7 months. The FA and the IMA ipsilateral to the bleeding site were embolized. Two embolic materials, gelatin sponge and microcoils, were used for the IMA and the FA, respectively.
  
  
  RESULTS
  The short-term success rate within the first 7 days was 77.3% (17/22). The long-term success rate was 95.5% (21/22). There were no major complications in 22 cases. Minor complications occurred in 13 cases (59%). These minor complications usually did not last more than a week and most resolved within a day.
authors.affiliation: Department of Otolaryngology, Kawasaki Medical School, Kurashiki, Okayama, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Fukutsuji
authors.forename: Suetaka
authors.initials: S
authors.lastname: Nishiike
authors.forename: Teruhito
authors.initials: T
authors.lastname: Aihara
authors.forename: Masako
authors.initials: M
authors.lastname: Uno
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Harada
authors.forename: Masayuki
authors.initials: M
authors.lastname: Gyoten
authors.forename: Shigeki
authors.initials: S
authors.lastname: Imai
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001158:Arteries; D004621:Embolization, Therapeutic / Q000379:methods*; D004844:Epistaxis / Q000000981:diagnostic imaging / Q000628:therapy*; D005145:Face / Q000098:blood supply; D005260:Female; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable; D006801:Humans; D008297:Male; D008438:Maxillary Artery / Q000000981:diagnostic imaging; D008875:Middle Aged; D009296:Nasal Cavity / Q000098:blood supply; D019736:Prostheses and Implants