Epistaxis is a common disorder affecting equally both genders. Posterior origin of epistaxis in some instances requires endovascular treatment. Anastomoses between external carotid artery and internal carotid or ophthalmic arteries heighten the risk of stroke or blindness, if particles of polyvinyl alcohol are used for embolization. We report a case of 90-year-old man for whom successful embolization with N-Butyl Cyanoacrylate glue was performed as an alternative treatment for recurrent epistaxis.
TsengEYNarducciCAWillingSJ. Angiographic embolization for epistaxis: A review of 114 cases. Laryngoscope. 1998 Apr; 108 (4 Pt 1): 615–619.
5.
ChristensenNPSmithDSBarnwellSL. Arterial embolization in the management of posterior epistaxis. Otolaryngol Head Neck Surg.2005 Nov; 133 (5): 748–753.
6.
VokesDEMcIvorNPWattieWJ. Endovascular treatment of epistaxis. ANZ J Surg.2004; 74: 751–753.
7.
ErnstRJBulasRVGaskill-ShipleyM. Endovascular therapy of intractable epistaxis complicated by carotid artery occlusive disease. Am J Neuroradiol. 1995; 16: 1463–1468.
8.
EldenLMontaneraWTerbruggeK. Angiographic embolization for the treatment of epistaxis: A review of 108 cases. Otolaryngol Head Neck Surg.1994 Jul; 111 (1): 44–50.
9.
AshwinPTMirzaSAjithkumarN. Iatrogenic central retinal artery occlusion during treatment for epistaxis. Br J Ophthalmol. 2007; 91: 122–123.
10.
TengMMChenCCLirngJF. N-butyl-2-cyanoacrylate for embolization of carotid aneurysm. Neuroradiology. 1994; 36: 144–147.
11.
LuoCBTengMMChangFC. Transarterial balloon-assisted n-butyl-2-cyanoacrylate embolization of direct carotid cavernous fistulas. Am J Neuroradiol. 2006 Aug; 27 (7): 1535–1540.
12.
MerlandJJMelkiJPChirasJ: Place of embolization in the treatment of severe epistaxis. Laryngoscope. 90: 694–704, 1980.
