Hada Y, Hattori T, Seta H, Yanohara K, Kato A, Takahashi Y, Ono M, Ooi M, Nakagawa T
Department of Radiology, Yamada Red Cross Hospital.
Nihon Igaku Hoshasen Gakkai Zasshi. 1993 Feb 25;53(2):229-31.
Six cases of severe epistaxis were treated with the super-selective intraarterial embolization of the internal maxillary artery. Tens of fragments of Gelfoam were delivered into the distal internal maxillary artery and, additionally, embolized by several pieces of the coils. In a case with cerebral infraction, catheter was inserted via the superficial temporal artery. There were no complications due to these procedures in all cases of this study. It is considered that therapeutic intraarterial embolization of the internal maxillary artery is an effective therapy for severe epistaxis and the superficial temporal artery approach is useful for selected cases.
对6例严重鼻出血患者采用上颌内动脉超选择性动脉栓塞治疗。将数十片明胶海绵送入上颌内动脉远端，另外还用数枚弹簧圈进行栓塞。1例合并脑梗死的患者，经颞浅动脉插入导管。本研究所有病例均未因这些操作出现并发症。认为上颌内动脉治疗性动脉栓塞是治疗严重鼻出血的有效方法，颞浅动脉入路对特定病例有用。
