Endovascular particulate and alcohol embolization for near-fatal epistaxis from a skull base vascular malformation.

Abstract:

:A three-year old girl who initially presented at 16 months with epistaxis from an anterior skull base vascular anomaly returned with near-fatal epistaxis despite embolization of the internal maxillary artery at the time of initial presentation. Repeat angiography demonstrated blood supply to the vascular lesion coming from branches of both the external and internal carotid arteries. The patient underwent four sessions of endovascular embolization with polyvinyl alcohol, alcohol, and gelatin microspheres. At the conclusion of treatment, her epistaxis had resolved and the only residual blood supply to the lesions came from bilateral ophthalmic arteries intentionally not sacrificed to prevent loss of vision. Endovascular embolization of both the internal and external carotid arteries is a challenging but important treatment option for life-threatening epistaxis resulting from vascular lesions of the skull base.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Koebbe CJ,Horowitz M,Levy EI,Adelson D,Jungries C

doi

10.1159/000050432

keywords:

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

257-61

issue

5

eissn

1016-2291

issn

1423-0305

pii

pne35257

journal_volume

35

pub_type

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