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
Neuroradiologyjournal_title
Neuroradiologyauthors
Tateshima S,Froehler M,Cramer R,Rastogi S,Viñuela Fdoi
10.1007/s00234-011-0999-zsubject
Has Abstractpub_date
2012-11-01 00:00:00pages
1241-4issue
11eissn
0028-3940issn
1432-1920journal_volume
54pub_type
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