Sphenopalatine-sphenopalatine anastomosis: A unique cause of intractable epistaxis, safely treated with microcatheter embolization: A case report

被引：6

作者：

Kamani T. ^{[1
]}

Shaw S. ^{[2
]}

Ali A. ^{[1
]}

Manjaly G. ^{[3
]}

Jeffree M. ^{[4
]}

机构：

[1] Royal Albert and Edward Infirmary, Wigan

[2] Royal Bolton Hospital, Bolton

[3] Eastbourne District General Hospital, Eastbourne, East Sussex

[4] Hurstwood Park Neurological Centre, Haywards Heath

来源：

Journal of Medical Case Reports | / 1卷 / 1期

关键词：

Nasal Packing; Facial Paralysis; Endovascular Embolization; Arterial Ligation; Internal Maxillary Artery;

D O I：

10.1186/1752-1947-1-125

中图分类号：

学科分类号：

摘要：

Epistaxis is the most common emergency presenting to the ENT surgeon. Here we present a case of epistaxis arising from the sphenopalatine artery in a patient who had previously had the ipsilateral external carotid artery ligated due to previous epistaxis. On investigation the epistaxis was determined to arise from an anastamosis with the contralateral sphenopalatine artery. The anatomy was demonstrated with angiography and the epistaxis treated using microcatheter embolization. Anatomical variation can be a cause for failure of ligation as a permanent treatment for epistaxis. Embolization is used less frequently for epistaxis control due to concerns about the risks involved, but it can be a valuable treatment option in intractable epistaxis following a failure of arterial ligation. © 2007 Shaw et al; licensee BioMed Central Ltd.

引用

共 8 条

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