Arterial embolization for control of bleeding in advanced head and neck carcinoma

Bhansali, Sanjay A.; Wilner, Harvey I.; Jacobs, John R.

doi:10.1017/s0022215100100994

Cited by 17 publications

(11 citation statements)

References 10 publications

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“…1,2,[15][16][17] In all of those cases, the procedure was successful, with no recurrent bleeding. The advantage of embolization over ligation in controlling hemorrhages is thought to lie in the fact that distal migration of the clot also occludes collateral feeding vessels.…”

Section: Discussionmentioning

confidence: 99%

Arterial embolization for control of bleeding in advanced head and neck malignancy

et al. 1998

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Background: This study was undertaken to assess the efficacy and suitability of an arterial embolization technique for the control of bleeding in advanced head and neck malignancies. Methods: Embolization was performed on 6 patients with advanced head and neck malignancy using various embolic materials for the control of bleeding. The primary tumors were located in the nasopharynx, hypopharynx (n = 2), oral base, face, and external auditory canal. All of these patients had severe anemia and 5 had massive regional hemorrhages. Results:All bleeding was well controlled by the arterial embolization; 2 patients were cured of hypovolemic shock. None of the patients died as a direct result of tumor bleeding, and there were no massive rebleeding cases in our series. Conclusion: Arterial embolization offers an effective, safe, and fast method for controlling bleeding from advanced head and neck malignancies. A good working relationship between the surgeon and the interventional radiologist provides the greatest chance for success in such cases.IntJ Clin Onco11998;3:228-232

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Section: Discussionmentioning

confidence: 99%

Arterial embolization for control of bleeding in advanced head and neck malignancy

et al. 1998

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“…The bleeding may arise from the tumor by erosion of vascular structures which are invaded, particularly in progressive disease [22], but may occur as a result of tumor necrosis in patients who have responded very well to treatment. The hemorrhage may occur on a background of complete remission as a result of irradiation-induced damage, in which case it is promoted by a local inflammatory factor (osteoradionecrosis, tracheostomy cannula, orostome).…”

Section: Embolization Of Branches Of the External Carotid Artery In Ementioning

confidence: 99%

Epistaxis: The role of arterial embolization

Reyre

Michel

Santini

et al. 2015

Diagnostic and Interventional Imaging

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Epistaxis is defined as flow of blood from the nasal fossae and is a common and benign disorder in the great majority of cases which does not require medical care. It may however become a genuine medical or surgical emergency because of the amount, repeated episodes or patient's medical vulnerability (such as coronary artery disease patients). Epistaxis may be either primary or a symptom of an underlying disease. Four levels of problems need to be answered faced with epistaxis: recognizing it, and in particular not missing "epistaxis" due to swallowed blood or venous hemorrhage, which falls outside of the scope of interventional radiology; establishing the amount and its repercussions, particularly as a decompensating factor in another disease; investigating its cause and in particular never missing a tumor (male adolescents); obtaining hemostasis. Epistaxis varies not only in type and cause but must be considered in its clinical context. Arterial embolization is a treatment of choice for severe refractory epistaxis and some hemorrhages. When carried out by trained operators, it is an effective method with few risks of complications and is increasingly being used in reference centers (Brinjikji et al.). It remains, however, a method which is less widely used than surgery, particularly in the United States where in a series of 69,410 patients treated over the last 10 years for refractory epistaxis, 92.6% underwent surgical ligation, 6.4% embolization and 1% combined treatments (Brinjikji et al.). Epistaxis is occasionally catastrophic and requires extremely urgent management. In each case, close collaboration with the surgeon, the presence of an intensive care anesthetist and at least sedation are all factors which improve management and therefore the results of embolization. All patients and/or their friends/close family should have given "reliable, clear and appropriate" information.

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“…L'hémorragie peut provenir de la tumeur par érosion des structures vasculaires envahies, notamment en cas de poursuite évolutive [21]. Elle peut être la résultante d'une nécrose tumorale chez les patients présentant une excellente réponse thérapeutique.…”

Section: éPistaxis Secondairesunclassified