Strother C M, Newton T H
Arch Otolaryngol. 1976 Jan;102(1):58-60. doi: 10.1001/archotol.1976.00780060104017.
Recurrent epistaxis is the most common manifestation of hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease), a disorder characterized by widely scattered visceral, dermal, and mucosal vascular lesions. Emergency measures applied locally may control acute hemorrhage, but seldom result in long-term benefit. Recently, we have had the opportunity of performing bilateral carotid angiographic examination on a patient with hereditary hemorrhagic telangiectasia who was suffereing from severe intractable epistaxis. At the time of angiographic examination, embolization of both internal maxillary arteries was accomplished, and control of the epistaxis was achieved. In the patient with severe epistaxis that is unresponsive to local measures, percutaneous embolization offers substantial advantages over surgical intervention.
反复鼻出血是遗传性出血性毛细血管扩张症（伦迪-奥斯勒-韦伯病）最常见的表现，该疾病的特征是在内脏、皮肤和黏膜广泛散在血管病变。局部采取的紧急措施可能控制急性出血，但很少能带来长期益处。最近，我们有机会对一名患有严重顽固性鼻出血的遗传性出血性毛细血管扩张症患者进行双侧颈动脉血管造影检查。在血管造影检查时，对上颌内动脉进行了栓塞，并实现了鼻出血的控制。对于局部措施无反应的严重鼻出血患者，经皮栓塞术比手术干预具有显著优势。
