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J NeuroIntervent Surg 2:176 doi:10.1136/jnis.2010.002204
  • Head and neck

Commentary on ‘Results of epistaxis embosurgery using DPFC’

  1. Philip M Meyers
  1. Columbia University, College of Physicians & Surgeons, New York, New York, USA
  1. Correspondence to Philip M Meyers, Associate Professor, Radiology and Neurological Surgery, Clinical Director, Neuroendovascular Service New York Presbyterian – Columbia, Neurological Institute of New York, 710 West 168th Street, Rm 428, New York, NY 10032, USA; pmm2002{at}columbia.edu
  • Received 7 January 2010
  • Accepted 8 January 2010

Keywords:

Lesley et al1 present a retrospective series of 20 patients with epistaxis who underwent endovascular embolization using eV3-brand detachable fibered platinum coils (DFPC). Coils were deposited in the internal maxillary arteries either ipsilateral to the site of hemorrhage or in some cases bilaterally. The authors report 100% technical success and 95% procedural success during 30-day telephone follow-up. There were no strokes, and one death during the follow-up period from unrelated causes. The authors conclude that this method is safe and effective for treatment of uncontrollable epistaxis.

Epistaxis is the most common otolaryngological emergency.2 Up to 3% of the population seek medical treatment for epistaxis during their lifetime.3 …

 

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