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An image-guided (CT) assessment of a new asymmetric balloon for the treatment of epistaxis

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The main objective was to perform an image-guided (CT) assessment of the efficacy of the CAVI-T™ balloon to compress the sphenopalatine artery (SPA) on cadaver heads, for the management of epistaxis. The secondary objectives were to analyse the deployment and stability of this balloon according to the volume injected into the nasal cavity, to optimise its use.

Methods

A descriptive anatomical study was performed. The catheterization of the SPA was performed on four fresh-frozen heads with a SPA approach through the maxillary sinus, leaving the nasal cavity unscathed. Computed Tomography images were acquired without and with the balloon, inflated by injections of progressive volumes of diluted iodine, for optimal contrast with the surrounding tissues. We evaluated the positioning of the balloon according to two predetermined markers on the device.

Results

Out of 68 image-guided acquisitions, the CAVI-T™ balloon compressed the SPA in 88% of cases. The other nasal cavity structures were compressed in 86% to 100% of the cases, depending on the positioning of the CAVI-T™ balloon, therefore allowing a complete obstruction of the nasal cavity. The device remained stable upon inflation and did not obstruct the nasopharynx.

Conclusion

The CAVI-T™ balloon provided effective compression of the SPA and the different structures of the nasal cavity.

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Acknowledgements

This work benefited from State aid managed by the French National Research Agency (ANR) under the “investissements d’avenir” program with the reference ANR-10-IAHU-02.

Funding

No funding was received for this study.

Author information

Authors and Affiliations

  1. Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre UF 6701, Service Oto‐Rhino‐Laryngologie et chirurgie cervico-faciale, 1 avenue Molière, 67200, Strasbourg, France

    Guillaume Trau, Idir Djennaoui, Marion Renaud, Léa Fath & Saït Ciftci

  2. IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France

    Aina Venkatasamy

  3. Streinth Lab (Stress Response and Innovative Therapies), Inserm UMR_S 1113 IRFAC, Interface Recherche Fondamental et Appliquée à la Cancérologie, Strasbourg, France

    Aina Venkatasamy

  4. ICube-Laboratoire des Sciences de l’ingénieur, de l’informatique et de l’imagerie (ICube) UMR 7357, Strasbourg, Illkirch, France

    Idir Djennaoui

  5. Institut National de la Santé et de la Recherche Médicale, INSERM, UMR‐S 1121, “Biomatériaux et Bioingénierie”, Strasbourg, France

    Léa Fath & Saït Ciftci

Authors
  1. Guillaume Trau
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  2. Aina Venkatasamy
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  3. Idir Djennaoui
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  4. Marion Renaud
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  5. Léa Fath
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  6. Saït Ciftci
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Contributions

G. Trau, A. Venkatasamy: conduct, analysis and presentation. I. Djennaoui, M. Renaud, L. Fath: conduct and analysis. S. Ciftci: conduct and presentation.

Corresponding author

Correspondence to Guillaume Trau.

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The ethical committee of the Strasbourg University Hospital and Faculty of Medicine confirms that the work entitled « An image-guided (CT) assessment of a new asymmetric balloon for the treatment of epistaxis» has been performed in accordance with the ethical and reglementary rules applied to studies on anatomical pieces.

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Trau, G., Venkatasamy, A., Djennaoui, I. et al. An image-guided (CT) assessment of a new asymmetric balloon for the treatment of epistaxis. Eur Arch Otorhinolaryngol 278, 4823–4830 (2021). https://doi.org/10.1007/s00405-021-06758-w

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