Brinjikji W; Kallmes DF; Cloft HJ
PURPOSE: Endovascular embolization has emerged as a applicable accessory and another to surgical articulation in called cases of epistaxis adverse to nasal packing. A ample authoritative database was acclimated to abstraction outcomes, complications, and trends in appliance of surgical and endovascular treatments for epistaxis.
MATERIALS AND METHODS: With the Nationwide Inpatient Sample from 2003 to 2010, patients with a primary analysis of epistaxis ability surgical articulation and/or endovascular embolization were identified. Trends in the use of these procedures from 2003 to 2010 were examined. Three groups of patients were defined: those who underwent (i) surgical ligation, (ii) endovascular embolization, or (iii) both. Demographic variables, comorbidities, and outcomes were compared beyond groups.
RESULTS: Among a absolute of 69,410 patients identified, 64,289 (92.6%) underwent surgical articulation abandoned for epistaxis, 4,440 (6.4%) underwent endovascular embolization alone, and 681 (1.0%) underwent both treatments. Use of endovascular embolization for epistaxis added from 2.8% of cases in 2003 to 10.7% of cases in 2010 (P<.0001). Patients who underwent endovascular embolization had agnate bloodshed ante as those who underwent surgical articulation (2.1% [93 of 4,440] vs 2.1% [1,328 of 64,289]; P = .89). Endovascular embolization was associated with decidedly college ante of achievement (0.9% [41 of 4,440] vs 0.1% [34/64,289]; P<.0001) and hematoma (1.9% [83 of 4,440] vs 0.4% [239 of 64,289]; P<.0001).
CONCLUSIONS: Use of endovascular embolization for analysis of epistaxis added decidedly amid 2003 and 2010. Patients who underwent endovascular embolization had agnate bloodshed ante but college achievement ante compared with those who underwent surgical ligation.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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