선택적 동맥 색전술을 이용한 난치성 재발성 비출혈 환자의 치료: 임상양상 분석 및 문헌고찰
Selective Arterial Embolization in Intractable Recurrent Epistaxis: A Clinical Analysis with Literature Review
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Background and Objectives Epistaxis usually responds to conservative therapy such as nasal packing or electrocauterization. But sometimes more invasive techniques such as selective embolization is justified. We report our experience of 10 patients with selective endovascular embolization for refractory epistaxis. Subjects and Method Ten patients were referred for selective arterial embolization for refractory epistaxis. Medical records were reviewed for clinical data, recurrence, and complication. Results Early rebleeding requiring treatment occurred in 1 patient (10%) and initial success rate of embolization was 90%. There was no major complication. Minor complications such as mild fever, groin pain, and voiding difficulty occurred in 2 patients (20%). Conclusion Selective arterial embolization for refractory epistaxis is safe and effective for treatment of refractory intractable epistaxis.
Abstract
Background and Objectives Epistaxis usually responds to conservative therapy such as nasal packing or electrocauterization. But sometimes more invasive techniques such as selective embolization is justified. We report our experience of 10 patients with selective endovascular embolization for refractory epistaxis. Subjects and Method Ten patients were referred for selective arterial embolization for refractory epistaxis. Medical records were reviewed for clinical data, recurrence, and complication. Results Early rebleeding requiring treatment occurred in 1 patient (10%) and initial success rate of embolization was 90%. There was no major complication. Minor complications such as mild fever, groin pain, and voiding difficulty occurred in 2 patients (20%). Conclusion Selective arterial embolization for refractory epistaxis is safe and effective for treatment of refractory intractable epistaxis.
참고문헌 (20)
- Small M, "A study of patients with epistaxis requiring admission to hospital", Health Bull (Edinb), 40(1), pp.20~29 (1982)
- Park SH, "Arterial embolization in rhinological field: an analysis of 19 cases", Korean J Otolaryngol-Head Neck Surg, 44(1), pp.64~70 (2001)
- 임상균, "재발한 비출혈의 임상양상 분석", 대한이비인후과학회지 두경부외과학, 48(9), pp.1111~1114 (2005), 대한이비인후과학회
- Kim SW, "Clinical analysis of epistaxis : result of the recent 10 years", Korean J Otolaryngol-Head Neck Surg, 43(11), pp.1216~1221 (2000)
- Siniluoto TM, "Embolization for the treatment of posterior epistaxis. An analysis of 31 cases", Arch Otolaryngol Head Neck Surg, 119(8), pp.837~841 (1993)
- Sokoloff J, "Therapeutic percutaneous embolization in intractable epistaxis", Radiology, 111, pp.285~287 (1974)
- Merland JJ, "Place of embolization in the treatment of severe epistaxis", Laryngoscope, 90(10 Pt 1), pp.1694~1704 (1980)
- Nicolaides A, "A new approach to the management of acute epistaxis", Clin Otolaryngol Allied Sci, 16, pp.59~61 (1991)
- Gottumukkala R, "Impact of vessel choice on outcomes of polyvinyl alcohol embolization for intractable idiopathic epistaxis", J Vasc Interv Radiol, 24(2), pp.234~239 (2013)
- Krajina A, "Radiological diagnosis and management of epistaxis", Cardiovasc Intervent Radiol, 37, pp.26~36 (2014)
- Tseng EY, "Angiographic embolization for epistaxis: a review of 114 cases", Laryngoscope, 108(4 Pt 1), pp.615~619 (1998)
- Elden L, "Angiographic embolization for the treatment of epistaxis:a review of 108 cases", Otolaryngol Head Neck Surg, 111(1), pp.44~50 (1994)
- Remonda L, "Endovascular treatment of acute and subacute hemorrhage in the head and neck", Arch Otolaryngol Head Neck Surg, 126(10), pp.1255~1262 (2000)
- Vitek J, "Idiopathic intractable epistaxis: endovascular therapy", Radiology, 181(1), pp.113~116 (1991)
- Elahi MM, "Therapeutic embolization in the treatment of intractable epistaxis", Arch Otolaryngol Head Neck Surg, 121(1), pp.65~69 (1995)
- Moreau S, "Supraselective embolization in intractable epistaxis: review of 45cases", Laryngoscope, 108(6), pp.887~888 (1998)
- Christensen NP, "Arterial embolization in the management of posterior epistaxis", Otolaryngol Head Neck Surg, 133(5), pp.748~753 (2005)
- Andersen PJ, "Selective embolization in the treatment of intractable epistaxis", Acta Otolaryngol, 125(3), pp.293~297 (2005)
- Sadri M, "Assessment of safety and efficacy of arterial embolisation in the management of intractable epistaxis", Eur Arch Otorhinolaryngol, 263(6), pp.560~566 (2006)
- Strach K, "Endovascular treatment of epistaxis: indications, management, and outcome", Cardiovasc Intervent Radiol, 34(6), pp.1190~1198 (2011)