Document Detail


Efficacy of selective percutaneous embolization for the treatment of intractable posterior epistaxis and juvenile nasopharyngeal angiofibroma (JNA).
MedLine Citation:
PMID:  19225958     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Conclusion: Percutaneous embolization reduces the reappearance of epistaxis and the mean length of hospital stay for patients with intractable epistaxis or juvenile nasopharyngeal angiofibroma (JNA). Objectives: To assess whether percutaneous embolization is effective for the treatment of intractable epistaxis and JNA. Patients and methods: Twenty-eight patients with intractable posterior epistaxis treated by embolization (25 males; m=59.78 years; SD=14.3) and 28 unembolized patients (24 males; m=59.21 years; SD=15.13) were studied retrospectively. Eight patients with JNA (all males; mean=16.5 years; SD=2.35; four embolized before surgery and four unembolized) were also analyzed. Results: Embolization was bilateral in 71.4% of subjects, blood transfusion was required in 28.57%, incidence of complications was 53.57%, and seven of the embolized patients with intractable epistaxis suffered from recurrence of the epistaxis. There were no statistically significant differences between the embolized and unembolized groups. The mean hospital stay was longer in unembolized patients (4.46 days; SD=2.42) than for the embolized patients (3.78 days; SD=3.9), p=0.394. The most serious complications occurred in patients embolized with idiopathic epistaxis and the mean post-embolization hospital stay was longer in this subgroup (4.14 days; SD=4.39) than in patients with Rendu-Osler-Weber syndrome (2.40 days; SD=1.140), p=0.395. Unembolized patients with JNA presented greater hemorrhage (m=2025 ml; SD=325) and a longer mean hospital stay (m=18 days; SD=3) than the group of embolized patients (m=360 ml; SD=185 and m=9 days; SD=1, respectively).
Authors:
Francisco Santaolalla; Inigo Araluce; Aitor Zabala; Antonio Lopez; Miguel Garay; Jose Maria Sanchez
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2009-2-19
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  -     ISSN:  1651-2251     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-2-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-7     Citation Subset:  -    
Affiliation:
Departments of Otorhinolaryngology.
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