| Visualization and Monitoring of Acute Epistaxis during Endovascular Treatment using a Flat Detector CT. | |
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MedLine Citation:
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PMID: 21922449 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Epistaxis is one of the most common emergencies of ENT surgery and can be managed conservatively in most cases. However, transarterial embolization is an accepted treatment option for intractable epistaxis, if conservative management fails. But often, direct detection of the bleeding point by obvious contrast extravasation is not possible in conventional subtracted angiographic series (DSA). Then the suspected bleeding point is treated by endovascular embolization based on the clinical suspicion.We here present the case of a young woman with intractable epistaxis where hemorrhage with contrast extravasation was only faintly visible. We used the new imaging modality of flat detector computed tomography (FD-CT) to visualize acute hemorrhage and treatment effect accurately.FD-CT was helpful to visualize both irregular branches of the bleeding mucosa and active hemorrhage and also to monitor an effective embolization within the angio suite. Acquisition of FD-CT imaging in addition to conventional 2-D imaging with the same system enhances the possibility to a better understanding of the individual patient's anatomy and could be beneficial in the accurate depiction of active bleeding, and it might also improve surgical management, if endovascular attempts should fail. |
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Authors:
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S Ott; T Struffert; V Hertel; T Engelhorn; P Gölitz; V Arlt; A Dörfler |
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Publication Detail:
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Type: Journal Article Date: 2011-09-15 |
Journal Detail:
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Title: Minimally invasive neurosurgery : MIN Volume: 54 ISSN: 1439-2291 ISO Abbreviation: Minim Invasive Neurosurg Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-09-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440973 Medline TA: Minim Invasive Neurosurg Country: Germany |
Other Details:
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Languages: eng Pagination: 187-90 Citation Subset: IM |
Copyright Information:
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Georg Thieme Verlag KG Stuttgart · New York. |
Affiliation:
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Department of Neuroradiology. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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