Table 4.
Review of studies on posterior epistaxis treated with embolisation
First author (reference) | Yeara | No. of patients | Mean age (year) | No. of procedures | Embolic material for ECA branches | Immediate clinical success (%)b | Severe complications (%)c |
---|---|---|---|---|---|---|---|
Vítek [30] | 1991 | 30 | 62 | 34 | GS | 87 | 3.3 hemiparesis |
Elden [32] | 1994 | 97 | 53 | 108 | PVA | 88 | 2 stroke, skin slough |
Elahi [57] | 1995 | 57 | 53.1 | 54 | PVA | 91 | 6 stroke |
Tseng [7] | 1998 | 112 | 55 | 114 | PVA, GS | 91 | 0.9 stroke |
Moreau [58] | 1998 | 45 | 48.8 | 46 | PVA | 95 | 4 |
Leppanen [59] | 1999 | 37 | 53 | 38 | PVA, coils | 89 | 0 |
Oguni [60] | 2000 | 37 | 57.3 | 40 | GS | 95 | 0 |
Andersen [33] | 2005 | 22 | 59 | 30 | PVA, spheres | 87 | 5 nose necrosis |
Christensen [61] | 2005 | 70 | 59.1 | 70 | PVA, GS, coils | 87 | 1 stroke |
Sadri [34] | 2006 | 14 | 57 | 15 | PVA | 71 | 7 nose necrosis, palate necrosis |
Fukutsuji [62] | 2008 | 22 | 56.8 | 23 | GS, coils | 77.3 | 0 |
Strach [35] | 2011 | 48 | 58.7 | 53 | PVA, coils | 93.5 | 4 nose necrosis, hemiparesis |
Gottumukkala [56] | 2013 | 84 | 63.8 | 85 | PVA | 89 | 1 |
GS = gelatin sponge
aThe table includes studies with selective embolisation using microcatheters
bThe overall clinical success also depended on the proportions of patients with HHT
cDefinitions of severe stroke were variable