Archives of otolaryngology--head & neck surgery · 1995
Therapeutic embolization in the treatment of intractable epistaxis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Elahi M M, Parnes L S, Fox A J, Pelz D M, Lee D H
Аннотация
OBJECTIVE: To determine the effectiveness of therapeutic embolization in the treatment of intractable epistaxis.
DESIGN: Cohort.
SETTING: Tertiary care hospital.
PATIENTS: Consecutive referred sample of 57 patients with intractable epistaxis.
INTERVENTION: Percutaneous transfemoral catheterization and angiography of the internal maxillary arteries. Embolization of the most distal branches with 0.1- to 0.9- cm3 medium-sized polyvinyl alcohol particles on the suspected side of bleeding.
OUTCOME: Outcome was successful if no further interventional treatment was required for epistaxis.
RESULTS: Anatomical abnormalities precluded embolization in three patients. Three of the remaining 54 patients required supplementry embolization. Including these three patients, 52 (96%) of 54 patients had successful control epistaxis. The major neurologic complication rate was 6% (three of 54 patients), with no permanent deficits.
CONCLUSIONS: Therapeutic embolization is an effective and safe technique and should be considered as the primary treatment modality in severe epistaxis.
DESIGN: Cohort.
SETTING: Tertiary care hospital.
PATIENTS: Consecutive referred sample of 57 patients with intractable epistaxis.
INTERVENTION: Percutaneous transfemoral catheterization and angiography of the internal maxillary arteries. Embolization of the most distal branches with 0.1- to 0.9- cm3 medium-sized polyvinyl alcohol particles on the suspected side of bleeding.
OUTCOME: Outcome was successful if no further interventional treatment was required for epistaxis.
RESULTS: Anatomical abnormalities precluded embolization in three patients. Three of the remaining 54 patients required supplementry embolization. Including these three patients, 52 (96%) of 54 patients had successful control epistaxis. The major neurologic complication rate was 6% (three of 54 patients), with no permanent deficits.
CONCLUSIONS: Therapeutic embolization is an effective and safe technique and should be considered as the primary treatment modality in severe epistaxis.