Skip to main content

Management of Complications Following Embolization for Intractable Epistaxis

  • Chapter
  • First Online:
Cerebrovascular and Endovascular Neurosurgery

Abstract

Epistaxis affects an estimated 60% of people during their lifetime [1, 2]. It is found to occur most often from an anterior source rather than a posterior source [3]. The underlying etiology for epistaxis can vary from a systemic disease with an associated coagulopathy [4], to physical assault with trauma to the mucosa, nasal bone or septum, anticoagulant use, an underlying arteriovenous malformation, illicit drug use, hypertension, and/or an underlying malignancy [1, 5].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Schlosser RJ. Clinical practice. Epistaxis. N Engl J Med. 2009;360(8):784–9.

    Article  CAS  PubMed  Google Scholar 

  2. Viehweg TL, Roberson JB, Hudson JW. Epistaxis: diagnosis and treatment. J Oral Maxillofac Surg. 2006;64(3):511–8.

    Article  PubMed  Google Scholar 

  3. Dubel GJ, Ahn SH, Soares GM. Transcatheter embolization in the management of epistaxis. Semin Intervent Radiol. 2013;30(3):249–62.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Awan MS, Iqbal M, Imam SZ. Epistaxis: when are coagulation studies justified? Emerg Med J. 2008;25(3):156–7.

    Article  CAS  PubMed  Google Scholar 

  5. Herkner H, Laggner AN, Mullner M, et al. Hypertension in patients presenting with epistaxis. Ann Emerg Med. 2000;35(2):126–30.

    Article  CAS  PubMed  Google Scholar 

  6. Sokoloff J, Wickbom I, McDonald D, Brahme F, Goergen TC, Goldberger LE. Therapeutic percutaneous embolization in intractable epistaxis. Radiology. 1974;111(2):285–7.

    Article  CAS  PubMed  Google Scholar 

  7. Willems PW, Farb RI, Agid R. Endovascular treatment of epistaxis. AJNR Am J Neuroradiol. 2009;30(9):1637–45.

    Article  CAS  PubMed  Google Scholar 

  8. Cohen JE, Moscovici S, Gomori JM, Eliashar R, Weinberger J, Itshayek E. Selective endovascular embolization for refractory idiopathic epistaxis is a safe and effective therapeutic option: technique, complications, and outcomes. J Clin Neurosci. 2012;19(5):687–90.

    Article  PubMed  Google Scholar 

  9. Shah QA. Bilateral tri-arterial embolization for the treatment of epistaxis. J Vasc Interv Neurol. 2008;1(4):102–5.

    PubMed  PubMed Central  Google Scholar 

  10. Luo CB, Teng MM, Lirng JF, et al. Endovascular embolization of intractable epistaxis. Zhonghua Yi Xue Za Zhi (Taipei). 2000;63(3):205–12.

    CAS  Google Scholar 

  11. Elden L, Montanera W, Terbrugge K, Willinsky R, Lasjaunias P, Charles D. Angiographic embolization for the treatment of epistaxis: a review of 108 cases. Otolaryngol Head Neck Surg. 1994;111(1):44–50.

    Article  CAS  PubMed  Google Scholar 

  12. Tseng EY, Narducci CA, Willing SJ, Sillers MJ. Angiographic embolization for epistaxis: a review of 114 cases. Laryngoscope. 1998;108(4 Pt 1):615–9.

    Article  CAS  PubMed  Google Scholar 

  13. Duncan IC, Fourie PA, le Grange CE, van der Walt HA. Endovascular treatment of intractable epistaxis—results of a 4-year local audit. S Afr Med J. 2004;94(5):373–8.

    PubMed  CAS  Google Scholar 

  14. Oguni T, Korogi Y, Yasunaga T, et al. Superselective embolisation for intractable idiopathic epistaxis. Br J Radiol. 2000;73(875):1148–53.

    Article  CAS  PubMed  Google Scholar 

  15. Gottumukkala R, Kadkhodayan Y, Moran CJ, de Cross WT III, Derdeyn CP. Impact of vessel choice on outcomes of polyvinyl alcohol embolization for intractable idiopathic epistaxis. J Vasc Interv Radiol. 2013;24(2):234–9.

    Article  PubMed  Google Scholar 

  16. Fukutsuji K, Nishiike S, Aihara T, et al. Superselective angiographic embolization for intractable epistaxis. Acta Otolaryngol. 2008;128(5):556–60.

    Article  PubMed  Google Scholar 

  17. Bilbao JI, Martinez-Cuesta A, Urtasun F, Cosin O. Complications of embolization. Semin Intervent Radiol. 2006;23(2):126–42.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Krajina A, Chrobok V. Radiological diagnosis and management of epistaxis. Cardiovasc Intervent Radiol. 2014;37(1):26–36.

    Article  PubMed  Google Scholar 

  19. Reyre A, Michel J, Santini L, et al. Epistaxis: the role of arterial embolization. Diagn Interv Imaging. 2015;96(7–8):757–73.

    Article  CAS  PubMed  Google Scholar 

  20. Fiorella D, Albuquerque FC, Han P, McDougall CG. Strategies for the management of intraprocedural thromboembolic complications with abciximab (ReoPro). Neurosurgery. 2004;54(5):1089–97. Discussion 1097–1088.

    Article  PubMed  Google Scholar 

  21. Bruening R, Mueller-Schunk S, Morhard D, et al. Intraprocedural thrombus formation during coil placement in ruptured intracranial aneurysms: treatment with systemic application of the glycoprotein IIb/IIIa antagonist tirofiban. AJNR Am J Neuroradiol. 2006;27(6):1326–31.

    PubMed  CAS  Google Scholar 

  22. Brinjikji W, McDonald JS, Kallmes DF, Cloft HJ. Rescue treatment of thromboembolic complications during endovascular treatment of cerebral aneurysms. Stroke. 2013;44(5):1343–7.

    Article  CAS  PubMed  Google Scholar 

  23. Adeeb N, Griessenauer CJ, Moore JM, et al. Ischemic stroke after treatment of intraprocedural thrombosis during stent-assisted coiling and flow diversion. Stroke. 2017;48(4):1098–100.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chirag D. Gandhi M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gupta, R., Shah, A.M., Al-Mufti, F., Gandhi, C.D. (2018). Management of Complications Following Embolization for Intractable Epistaxis. In: Gandhi, C., Prestigiacomo, C. (eds) Cerebrovascular and Endovascular Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65206-1_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-65206-1_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65204-7

  • Online ISBN: 978-3-319-65206-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics