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S Afr Med J. 2004 May;94(5):373-8.

Endovascular treatment of intractable epistaxis--results of a 4-year local audit.

Abstract

OBJECTIVE:

Transcatheter embolisation is an accepted and effective treatment for intractable epistaxis. We analysed our success and complication rates and compared these with results from other published series.

DESIGN:

Retrospective review.

SETTING:

Unitas Interventional Unit, Centurion.

METHODS:

Case record review (57 procedures) and telephonic interviews (36 traceable respondents).

OUTCOME MEASURES:

A numerical audit of the success and complication rates for embolisation procedures performed during the 4-year period between July 1999 and June 2003.

RESULTS:

A total of 57 endovascular embolisation procedures were performed for intractable epistaxis in 51 patients during this period. Eight patients (15.7%) developed a re-bleed between 1 and 33 days after embolisation, of whom 5 were reembolised, giving a primary short-term success rate of 86.3% and secondary assisted success rate of 94.1%. Thirty-five of 36 respondents (97.2%) reported no further epistaxis during the long-term follow-up period of 1-47 months. The mortality rate was 0%, the major morbidity rate was 2% (1 stroke) and the minor morbidity rate was 25%.

CONCLUSION:

Our success and complication rates are acceptable and compare favourably with those reported in other large series.

PMID:
15211958
[Indexed for MEDLINE]
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