Trans-radial embolization of epistaxis in patients with end-stage liver disease.

Abstract:

INTRODUCTION:Endovascular treatment of epistaxis in patients with bleeding disorders is challenging due to the intrinsic risk of hemorrhagic complication related to the arterial access. We describe the use of trans-radial approach for the endovascular embolization of epistaxis due to end-stage liver disease and resultant severe coagulopathy. METHODS:Two patients waiting for liver transplant continued to have epistaxis despite the aggressive correction of the coagulopathy and nose packing. After performing the Allen's test, trans-radial embolization of the epistaxis was performed in both patients. RESULTS:The complete cessation of epistaxis was achieved after the trans-radial embolization of bilateral maxillary arteries with particles. The radial access sites were manually compressed for 1 h, followed by a compression dressing for 12 h. The cessation of the epistaxis helped the subsequent treatment of correcting the coagulopathy. There was no complication related to the arterial puncture. CONCLUSION:Trans-radial embolization for epistaxis was a safe and effective method for the patient with end-stage liver disease and resultant severe coagulopathy.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Tateshima S,Froehler M,Cramer R,Rastogi S,Viñuela F

doi

10.1007/s00234-011-0999-z

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1241-4

issue

11

eissn

0028-3940

issn

1432-1920

journal_volume

54

pub_type

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