Abstract:

Objective      To summarize interventional embolization for intractable epistaxis after craniocerebral trauma, and evaluate its effectiveness. Methods      Selection of interventional methods for 18 cases was retrospectively analyzed. 10 cases were treated with detachable balloon embolization, 7cases with Guglielmi detachable coil(GDC) embolization, and 1case with trapping because the balloon ruptured repeatedly. Results      8 embolizations were successfully performed with 1 balloon, and the patients′ internal carotid arteries were kept patency. 2 embolizations were performed with 2 balloons, with internal carotid arteries obliterated.6 embolizations were performed with GDC, but the patients′ arteries were kept patency. 1 case of maxillary artery pseudoaneurysm was embolized the artery with GDC. 1 case was treated with trapping of the fistula. After interventional treatment, Digital subtracted angiography (DSA) revealed complete obliteration of fistulas and pseudoaneurysms. In the follow-up of 1 to 5 years, no epistaxis was occurred. Conclusion      Interventional embolization is the treatment of choice for traumatic intractable epistaxis. When interventional embolization is failed, trapping of the fistula is an effective therapy.

Key words: Craniocerebral trauma； Pseudoaneurysm； Epistaxis； Interventional treatment； Embolization