Article Details

* Date : 06-08-2009 - 07:19 PM (5433 days ago), * Characters : 1692, Words : 223, Size : 1.65 Kb.

Endovascular Treatment of Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia.

BACKGROUND AND PURPOSE: The treatment of epistaxis in patients with hereditary hemorrhagic telangiectasia can be very challenging. The purpose of our study was to evaluate our experience with endovascular epistaxis embolization in patients with hemorrhagic hereditary telangiectasia and to compare this with our experience in patients treated for idiopathic epistaxis.

MATERIALS AND METHODS: Over a 6-year period, we treated 22 patients with epistaxis by using endovascular embolization. Twelve of 22 patients had hereditary hemorrhagic telangiectasia; 10 patients had idiopathic epistaxis. The angiographic findings, efficacy of treatment, and complications for both groups were compared.

RESULTS: Patients with hereditary hemorrhagic telangiectasia had angiographic abnormalities in 92% of cases compared with only 30% in the idiopathic epistaxis group. Compared with a group of 10 patients treated for other causes of epistaxis, those with hereditary hemorrhagic telangiectasia required significantly more re-embolization treatments or additional surgical procedures because of continued or recurrent bleeding episodes after embolization (P = .03). Complications were rare; a single patient in the idiopathic epistaxis group had a self-limited groin hematoma and postembolization facial pain.

CONCLUSION: Endovascular embolization of epistaxis is a safe procedure that can be useful for patients with severe acute epistaxis or chronic persistent bleeding. Patients who undergo endovascular embolization for epistaxis related to hereditary hemorrhagic telangiectasia require repeat embolization and subsequent surgical procedures more often than those with idiopathic epistaxis.

Return to Doctor's Page
Email This Doctor

To Quote this article, you should add: : All rights of Article "Endovascular Treatment of Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia." belongs to Kennith Franklin LAYTON MD and it is published at SuggestADoctor.com (http://www.suggestadoctor.com) Health Articles Library. With this notice, you can quote reasonable amount of text from this article but you have to get permission from its author to republish or redistribute it fully.

Other Articles by Kennith Franklin LAYTON MD: Use Of Covered Stent Grafts İn The Extracranial Carotid Artery: Report Of Three Patients With Follow-Up Between 8 And 42 Months. Percutaneous Sacroplasty Using Ct Fluoroscopy. A Modified Vertebroplasty Approach For Spine Biopsies. Expanding The Treatment Window With Mechanical Thrombectomy İn Acute Ischemic Stroke. Transarterial Coil Embolization Of The Venous Component Of Aggressive Type 4 Dural Arteriovenous Fistulas. The Radial Artery Access Site For Interventional Neuroradiology Procedures. Bovine Aortic Arch Variant İn Humans: Clarification Of A Common Misnomer. Subsequent Vertebral Fractures After Vertebroplasty: Association With Intraosseous Clefts. Acute Vertebral Compression Fractures İn Patients With Multiple Myeloma: Evaluation Of Vertebral Body Edema Patterns On Mr Imaging And The Implications For Vertebroplasty. Vertebral Endplate Fractures: An Indicator Of The Abnormal Forces Generated İn The Spine After Vertebroplasty. Use Of The Ulnar Artery As An Alternative Access Site For Cerebral Angiography. Angioplasty Of An Idiopathic Intracranial Arterial Stenosis. Balloon-Assisted Coiling Through A 5-French System. Outcomes Of Patients Receiving Long-Term Corticosteroid Therapy Who Undergo Percutaneous Vertebroplasty. Specificity Of Mr Angiography As A Confirmatory Test For Carotid Artery Stenosis: İs İt Valid? Vertebroplasty, First 1000 Levels Of A Single Center: Evaluation Of The Outcomes And Complications. Balloon-Assisted Coiling Of Intracranial Aneurysms: Evaluation Of Local Thrombus Formation And Symptomatic Thromboembolic Complications. Transorbital Puncture For The Treatment Of Cavernous Sinus Dural Arteriovenous Fistulas. Isolated Third Nerve Palsy Assocaited With A Ruptured Anterior Communicating Artery Aneurysm. Recurrent Intracranial Stenosis Induced By The Wingspan Stent: Comparison With Balloon Angioplasty Alone İn A Single Patient.