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March 1992

Massive Epistaxis Due to Pseudoaneurysm: Treated With Detachable Balloons

Author Affiliations

From the Departments of Radiology (Drs Crow, Guinto, Chaljub, Wright, and Rabassa) and Otolaryngology (Drs Scott and Stiernberg), The University of Texas Medical Branch, Galveston.

Arch Otolaryngol Head Neck Surg. 1992;118(3):321-324. doi:10.1001/archotol.1992.01880030113023

• A case of massive epistaxis refractory to nasal packing and bilateral surgical ligation of the internal maxillary and ethmoidal arteries is presented. Angiography revealed a pseudoaneurysm of the cervical portion of the internal carotid artery, and intravascular detachable balloons were used for epistaxis control. The appropriate use of intravascular diagnostic and therapeutic techniques is described.

(Arch Otolaryngol Head Neck Surg. 1992;118:321-324)