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Hemorrhages of the ENT Area

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Embolization

Abstract

Arterial embolization is the treatment of choice for refractory epistaxes and can be indicated in hemorrhages of the ENT area. When carried out by trained radiologists, it proves to be an efficient method that presents little risk of complications.

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References

  1. Small M, Murray JA, Maran AG. A study of patients with epistaxis requiring admission to hospital. Health Bull (Edinb). 1982;40(1):20–9.

    CAS  Google Scholar 

  2. Leppänen M, et al. Microcatheter embolization of intractable idiopathic epistaxis. Cardiovasc Intervent Radiol. 1999;22(6):499–503.

    Article  PubMed  Google Scholar 

  3. Cockroft KM, et al. Delayed epistaxis resulting from external carotid artery injury requiring embolization: a rare complication of transsphenoidal surgery: case report. Neurosurgery. 2000;47(1):236–9.

    PubMed  CAS  Google Scholar 

  4. Luo CB, et al. Transarterial embolization of acute external carotid blowout syndrome with profuse oronasal bleeding by N-butyl-cyanoacrylate. Am J Emerg Med. 2006;24(6):702–8.

    Article  PubMed  Google Scholar 

  5. Pollak JS, White Jr RI. The use of cyanoacrylate adhesives in peripheral embolization. J Vasc Interv Radiol. 2001;12(8):907–13.

    Article  PubMed  CAS  Google Scholar 

  6. Elhammady MS, et al. Onyx embolization of carotid-cavernous fistulas. J Neurosurg. 2010;112(3):589–94.

    Article  PubMed  Google Scholar 

  7. Christensen NP, et al. Arterial embolization in the management of posterior epistaxis. Otolaryngol Head Neck Surg. 2005;113(5):748–53.

    Article  Google Scholar 

  8. Moreau S, et al. Supraselective embolization in intractable epistaxis: review of 45 cases. Laryngoscope. 1998;108(6):887–8.

    Article  PubMed  CAS  Google Scholar 

  9. Tseng EY, et al. Angiographic embolization for epistaxis: a review of 114 cases. Laryngoscope. 1998;108(4 Pt 1):615–9.

    Article  PubMed  CAS  Google Scholar 

  10. Cullen MM, Tami TA. Comparison of internal maxillary artery ligation versus embolization for refractory posterior epistaxis. Otolaryngol Head Neck Surg. 1998;118(5):636–42.

    PubMed  CAS  Google Scholar 

  11. Mames RN, Snady-McCoy L, Guy J. Central retinal and posterior ciliary artery occlusion after particle embolization of the external carotid artery system. Ophthalmology. 1991;98(4):527–31.

    PubMed  CAS  Google Scholar 

  12. Elden L, et al. Angiographic embolization for the treatment of epistaxis: a review of 108 cases. Otolaryngol Head Neck Surg. 1994;111(1):44–50.

    PubMed  CAS  Google Scholar 

  13. Klotz DA, et al. Surgical management of posterior epistaxis: a changing paradigm. Laryngoscope. 2002;112(9):1577–82.

    Article  PubMed  Google Scholar 

  14. Strong EB, et al. Intractable epistaxis: transantral ligation vs. embolization: efficacy review and cost analysis. Otolaryngol Head Neck Surg. 1995;113(6):674–8.

    Article  PubMed  CAS  Google Scholar 

  15. Bates MC, Shamsham FM. Endovascular management of impending carotid rupture in a patient with advanced head and neck cancer. J Endovasc Ther. 2003;10:54–7.

    Article  PubMed  Google Scholar 

  16. Chen YF, et al. Transarterial embolization for control of bleeding in patients with head and neck cancer. Otolaryngol Head Neck Surg. 2010;142(1):90–4.

    Article  PubMed  Google Scholar 

  17. Bhansali S, Wilner H, Jacobs JR. Arterial embolization for control of bleeding in advanced head and neck carcinoma. J Laryngol Otol. 1986;100(11):1289–93.

    Article  PubMed  CAS  Google Scholar 

  18. Citardi MJ, et al. Management of carotid artery rupture by monitored endovascular therapeutic occlusion (1988–1994). Laryngoscope. 1995;105(10):1086–92.

    Article  PubMed  CAS  Google Scholar 

  19. Chaloupka JC, et al. Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations. AJNR Am J Neuroradiol. 1996;17(5):843–52.

    PubMed  CAS  Google Scholar 

  20. Chaloupka JC, et al. Recurrent carotid blowout syndrome: diagnostic and therapeutic challenges in a newly recognized subgroup of patients. AJNR Am J Neuroradiol. 1999;20(6):1069–77.

    PubMed  CAS  Google Scholar 

  21. Lesley WS, et al. Preliminary experience with endovascular reconstruction for the management of carotid blowout syndrome. AJNR Am J Neuroradiol. 2003;24(5):975–81.

    PubMed  Google Scholar 

  22. Chazono H, et al. Carotid artery resection: preoperative temporary occlusion is not always an accurate predictor of collateral blood flow. Acta Otolaryngol. 2005;125(2):196–200.

    PubMed  Google Scholar 

  23. Macdonald S, et al. Endovascular treatment of acute carotid blow-out syndrome. J Vasc Interv Radiol. 2000;11(9):1184–8.

    Article  PubMed  CAS  Google Scholar 

  24. Warren FM, et al. Management of carotid ‘blowout’ with endovascular stent grafts. Laryngoscope. 2002;112(3):428–33.

    Article  PubMed  Google Scholar 

  25. Pyun HW, et al. Placement of covered stents for carotid blowout in patients with head and neck cancer: follow-up results after rescue treatments. AJNR Am J Neuroradiol. 2007;28(8):1594–8.

    Article  PubMed  CAS  Google Scholar 

  26. Chang FC, et al. Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: endovascular therapeutic methods and outcomes. J Vasc Surg. 2008;47(5):936–45.

    Article  PubMed  Google Scholar 

  27. Chang FC, et al. Brain abscess formation: a delayed complication of carotid blowout syndrome treated by self-expandable stent-graft. AJNR Am J Neuroradiol. 2006;27(7):1543–5.

    PubMed  Google Scholar 

  28. Desuter G, et al. Carotid stenting for impending carotid blowout: suitable supportive care for head and neck cancer patients? Palliat Med. 2005;19:427–9.

    Article  PubMed  CAS  Google Scholar 

  29. Nicolai P, et al. Endoscopic surgery for juvenile angiofibroma: a critical review of indications after 46 cases. Am J Rhinol Allergy. 2010;24(2):e67–72.

    Article  PubMed  Google Scholar 

  30. Santaolalla F, et al. Efficacy of selective percutaneous embolization for the treatment of intractable posterior epistaxis and juvenile nasopharyngeal angiofibroma (JNA). Acta Otolaryngol. 2009;129(12):1456–62.

    Article  PubMed  Google Scholar 

Suggested Reading

  • Kaufman JA, Lee MJ, 1. Vascular and interventional radiology: the requisites. St. Louis: Mosby; 2003. p. 510.

    Google Scholar 

  • Klurfan P, Lee SK. Vascular embolotherapy: a comprehensive approach. 1st ed. Berlin/New York: Springer; 2006.

    Google Scholar 

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Correspondence to Arthur Varoquaux .

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Varoquaux, A. et al. (2014). Hemorrhages of the ENT Area. In: Chabrot, P., Boyer, L. (eds) Embolization. Springer, London. https://doi.org/10.1007/978-1-4471-5182-1_3

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  • DOI: https://doi.org/10.1007/978-1-4471-5182-1_3

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5181-4

  • Online ISBN: 978-1-4471-5182-1

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