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2015 ; 99
(2
): 65-73
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The Endovascular Treatment of Epistaxis
#MMPMID30039110
Nicolay S
; Van Der Zijden T
; Voormolen M
; d'Archambeau O
; Maes J
; De Belder F
; Parizel PM
J Belg Soc Radiol
2015[Dec]; 99
(2
): 65-73
PMID30039110
show ga
Epistaxis or nosebleed is relatively common in the general population. Depending
on the location of the bleeding in the nasal cavity, epistaxis can be divided in
two types: anterior or posterior type. The anterior type is far more frequent,
often self-limiting and, if needed, is relatively easy treatable. Posterior type
epistaxis is rare and more likely to require medical attention. The cornerstone
of the conservative therapy of posterior epistaxis is nasal packing. Only in
patients with persistent or recurrent epistaxis, endovascular intervention or
surgery is indicated. Both treatment options have a similar success and
complication rate, but endovascular treatment, if feasible, has several
advantages above surgical treatment. The choice of procedure should be made on a
patient-to-patient basis, taking several parameters into account. In this
pictorial essay we present an overview of the relevant radiological anatomy and a
review of various causes of epistaxis, with the emphasis on the endovascular
treatment.
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