Safety and Efficacy of Transarterial Embolization Therapy in Patients with Uncontrolled Epistaxis: A Single-Center Retrospective Observational Study

Yıl 2023, , 12 - 18, 30.04.2023

Mehrdad Rezaı Mıyandoab , Bilen Onan , Ferhat Can Pişkin , Sinan Sözütok , Elvan Onan

https://doi.org/10.36516/jocass.1196446

Öz

Aim:
This study aimed to present technical details and outcomes of endovascular treatment of patients who underwent endovascular embolization due to resistant and recurrent epistaxis in our center.
Methods:
In this study, between January 2014 and January 2020, the patients who underwent endovascular treatment due to epistaxis in the interventional radiology unit at our hospital were evaluated retrospectively.
Results:
In this study, 4 (25%) female and 12 (75%) male patients were included in 16 patients. The mean age of the patients was 56.6 ± 17.8 years. The etiologies of epistaxis of the patients were as follows; 4 (25%) patients had nasal angiofibroma, 1 (6.2%) patient had larynx carcinoma, 1 (6.2%) patient had nasopharynx carcinoma, 1 (6.2%) patient had aneurysm rupture, 1 (6.2%) patient had epistaxis due to anticoagulant use, 8 (50%) patients had idiopathic epistaxis. In total, endovascular embolization was performed in all 18 procedures performed. In all 16 patients who underwent embolization, 100% technical success was achieved during the procedure, and no complications developed in the follow-up. However, in 2 (12.5%) procedures, embolization therapy was performed for the second time due to recurrent epistaxis after embolization.
Conclusions:
In resistance and recurrent epistaxis cases, endovascular embolization is an alternative to surgical methods, a treatment method with a low risk of complications and a high success rate.

Anahtar Kelimeler

Epistaxis, Endovascular Treatment, Embolization, Interventional Radiology

Kontrol Edilemeyen Burun Kanamasi Olan Hastalarda Transarteriyel Embolizasyon Tedavisinin Güvenliği Ve Etkinliği: Tek Merkezli Retrospektif Gözlemsel Bir Çalişma

Öz

Amaç:
Bu çalışmanın amacı, merkezimizde dirençli ve tekrarlayan burun kanaması nedeniyle endovasküler embolizasyon uygulanan hastaların endovasküler tedavisinin teknik detaylarını ve sonuçlarını sunmaktır.
Gereç ve Yöntem: Bu çalışmada Ocak 2014-Ocak 2020 tarihleri arasında hastanemizde girişimsel radyoloji ünitesinde burun kanaması nedeniyle endovasküler tedavi uygulanan hastalar retrospektif olarak değerlendirildi.
Bulgular:
Bu çalışmada toplam 16 hastaya 4 (%25) kadın, 12 (%75) erkek hasta dahil edildi. Hastaların yaş ortalaması 56.6 ± 17.8 idi. Hastaların burun kanaması etiyolojileri şöyleydi; 4 (%25) hastada nazal anjiyofibroma, 1 (%6.2) hastada gırtlak karsinomu, 1 (%6.2) hastada nazofarenks karsinomu, 1 (%6.2) hastada anevrizma rüptürü, 1 (%6.2) hastada burun kanaması nedeniyle burun kanaması vardı. antikoagülan kullanımı için 8 (% 50) hastada idiyopatik burun kanaması vardı. Toplamda, 18 prosedürün hepsinde endovasküler embolizasyon yapıldı.
Sonuç:
Dirençli ve tekrarlayan burun kanaması vakalarında endovasküler embolizasyon cerrahi yöntemlere alternatif, komplikasyon riski düşük ve başarı oranı yüksek bir tedavi yöntemidir.

Anahtar Kelimeler

Burun Kanaması, Endovasküler Tedavi, Embolizasyon, Girişimsel Radyoloji

Kaynakça

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