ORIGINAL PAPERS
SEVERE RECURRENT EPISTAXIS IN RENDU-OSLER-WEBER DISEASE TREATED BY SUPERSELECTIVE EMBOLIZATION
2016 Volume 59 Issue 4 Pages 184-188
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2016 Volume 59 Issue 4 Pages 184-188
Hereditary Hemorrhagic Telangiectasia (HHT) is one of the causes of recurrent epistaxis. We report the case of a patient with Rendu-Osler-Weber disease who presented with severe epistaxis and was treated, in collaboration with a neurosurgeon, by superselective embolization.
A 74-year-old male patient with HHT presented to us at Jikei University, School of Medicine, with a 7-year history of recurrent severe epistaxis. The site of bleeding was identified by the otorhinolaryngologist during angiography, and superselective embolization was performed by the neurosurgeon.
Successful control of the recurrent epistaxis was achieved after the superselective embolization, with minimal mucosal damage of the nose.
Endovascular treatment, especially superselective embolization, appears to be an effective treatment strategy for recurrent epistaxis in patients with HHT.
