선택적 동맥 색전술을 이용한 난치성 비출혈의 치료 ： 임상분석 13예
Refractory Epistaxis Treated with Selective Arterial Embolization : A Clinical Analysis of 13 Cases
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Background and Objectives：We analyzed the clinical data of 13 patients with selective arterial embolization for refractory epistaxis and reported the results. Materials and Methods：Data from 13 patients who underwent selective arterial embolization for refractory epistaxis between 2009 and 2016 at Hallym University Sacred Heart Hospital were retrospectively reviewed. In all patients, initial epistaxis control by cauterization or posterior packing was ineffective. Selective arterial embolization was conducted by intervention specialist of radiology department. Embolization procedure was done at extravascular leakage of contrast sites using PVCs, gelfoams and caligels. Results：The mean age of 13 patients (9 men and 4 women) was 51.2±7.58 years. Success rate of embolization for bleeding control was 92.3% (12 patients). In one patient, epistaxis recurred immediately after embolization, re-embolization was carried out successfully. No serious complications after embolization were reported in our cases. Selective arterial embolization has a success rate of 71-97% as studies and our study showed similar high rate (92.3%) without complications. Conclusions：If readily available, selective arterial embolization can be considered an effective treatment option for intractable nasal bleeding.
Abstract
Background and Objectives：We analyzed the clinical data of 13 patients with selective arterial embolization for refractory epistaxis and reported the results. Materials and Methods：Data from 13 patients who underwent selective arterial embolization for refractory epistaxis between 2009 and 2016 at Hallym University Sacred Heart Hospital were retrospectively reviewed. In all patients, initial epistaxis control by cauterization or posterior packing was ineffective. Selective arterial embolization was conducted by intervention specialist of radiology department. Embolization procedure was done at extravascular leakage of contrast sites using PVCs, gelfoams and caligels. Results：The mean age of 13 patients (9 men and 4 women) was 51.2±7.58 years. Success rate of embolization for bleeding control was 92.3% (12 patients). In one patient, epistaxis recurred immediately after embolization, re-embolization was carried out successfully. No serious complications after embolization were reported in our cases. Selective arterial embolization has a success rate of 71-97% as studies and our study showed similar high rate (92.3%) without complications. Conclusions：If readily available, selective arterial embolization can be considered an effective treatment option for intractable nasal bleeding.
참고문헌 (20)
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