임상

경피 경동맥 폐색술을 이용한 비출혈 치험 1례

오봉환1, 이상철1, 박춘근1, 전재량1
Bong Whan Oh1, Sang Cheol Lee1, Chun Keun Park1, Jae Ryang Juhn1
Author Information & Copyright
1인제대학교 의과대학 부산백병원 이비인후과학교실,방사선과학교실
1Departments of Otolaryngology and Radiology, College of Medicine, Inje University, Pusan Paik Hospital

© Copyright 1991 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

The intractable, severe posterior epistaxis is sometimes fatal, and there are various methods in management for epistaxis, as nasal packing or surgical ligation of artery. But these methods have occasionally high failure rate and cause many complications.

A new radiologic procedure, angiography and percutaneous transcatheter arterial embolization, is useful modality in the point of effectiveness, safety and tolerability in these difficult cases.

Recently, we have experienced that a case of severe bilateral epistaxis controlled by digital subtraction angiography and percutaneous transcatheter arterial embolization with Gelfoam of both internal maxillary arteries with good results, so report with review of literatures.

Keywords: Epistaxis; Severe bilateral; Angiography and percutaneous transcatheter arterial embolization