Epistaxis embolization
Embolization of the artery responsible for severe nosebleed refractory to nasal packing.
The information below is provided for general educational purposes only. It describes the procedure in general terms and may not apply to your specific situation. Only your interventional radiologist can provide you with personalized information adapted to your case.
What does this intervention involve?
Background and indications
Embolization is offered for severe or recurrent epistaxis (nosebleed) not responding to nasal packing or cauterization. It particularly concerns posterior epistaxis and patients on anticoagulants.
Benefits
High success rate (>90%), avoiding surgery. Nasal packing can be removed quickly after the procedure, improving patient comfort.
Procedure
Under local anesthesia, a catheter is introduced via the femoral artery and guided to the sphenopalatine and internal maxillary arteries. Bleeding arteries are embolized with particles or microcoils. The procedure lasts 1-2 hours.
Risks
Skin or mucosal necrosis (rare), facial paralysis (exceptional), stroke (very rare). Transient facial pain.
Recovery and follow-up
Packing is removed within 24-48 hours. 1-2 night hospitalization. ENT follow-up.
Practical information
Local anesthesia. Hospital stay: 1 to 2 nights.
This information does not replace a medical consultation. Each procedure is adapted to the patient's individual situation. Your doctor will explain the specific details, expected benefits and potential risks during your consultation.
Doctors and centers/departments performing this intervention
2 doctors
Dr Vincent DUROUS
Radiologue interventionnelAnnecy, Argonay
Dr Quentin LAFERTé
Radiologue interventionnelSaint-Quentin