{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T15:34:25Z","timestamp":1775576065470,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2009,12,23]]},"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Safety and efficacy outcomes are lacking for embosurgery of the distal internal maxillary artery (IMax) using detachable platinum fibered coils (DPFCs) in patients with uncontrollable epistaxis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on patients treated October 2006 through May 2009 with a diagnosis of uncontrollable or recurrent epistaxis managed by DPFC. Inclusion criteria included patients with epistaxis complicating open or endoscopic nasal surgery, or patients with the following covariant risk factors: aspirin, clopidogrel, warfarin, ibuprofen or hypertension. Patients were excluded if particulates, liquid glue or non-permanent embolics were used as adjuvants. Medical record review and follow-up for 1\u2005month were performed on all patients to determine treatment results and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A cohort of 20 patients meeting enrollment criteria was comprised of 13 men and 7 women with a mean age of 63\u2005years (range 35\u201385\u2005years). Epistaxis etiologies included recent nasal surgery (N=2) while all patients (N=20) had one or more covariant epistaxis risk factors. 17 patients underwent bilateral IMax embolization. Three patients had unilateral IMax embosurgery in which two patients had a remote history of contralateral IMax open ligation for previous epistaxis. 95% of the cohort remained free of recurrent nose bleeding requiring medical or surgical intervention. 95% of the patients had no complications while one patient (5%) had transient unilateral facial pain. There was no procedure-related death, blindness or stroke. One patient died during follow-up from unrelated causes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DPFC embosurgery is effective and safe in managing uncontrollable epistaxis.<\/jats:p><\/jats:sec>","DOI":"10.1136\/jnis.2009.001834","type":"journal-article","created":{"date-parts":[[2010,6,16]],"date-time":"2010-06-16T20:30:29Z","timestamp":1276720229000},"page":"171-175","source":"Crossref","is-referenced-by-count":7,"title":["Results of epistaxis embosurgery using detachable platinum fibered coils"],"prefix":"10.1136","volume":"2","author":[{"given":"Walter S","family":"Lesley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Rangaswamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delip V","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,5,27]]},"reference":[{"key":"2024052222435882000_2.2.171.1","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1053\/j.tvir.2005.10.006","article-title":"Embolization for intractable epistaxis","volume":"8","author":"Mahadevia","year":"2005","journal-title":"Tech Vasc Interv Radiol"},{"key":"2024052222435882000_2.2.171.2","doi-asserted-by":"publisher","DOI":"10.1148\/111.2.285"},{"key":"2024052222435882000_2.2.171.3","first-page":"24","article-title":"A study of patients with epistaxis requiring admission to hospital","volume":"40","author":"Small","year":"1982","journal-title":"Health Bull (Edinb)"},{"key":"2024052222435882000_2.2.171.4","unstructured":"Connors JJ 3rd Wojak JC . Interventional neuroradiology: strategies and practical techniques. Philadelphia: WB Saunders Company, 1999, p.155."},{"key":"2024052222435882000_2.2.171.5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/S1726-4901(09)70264-3","article-title":"Role of CT and endovascular embolization in managing pseudoaneurysms of the internal maxillary artery","volume":"69","author":"Luo","year":"2006","journal-title":"J Chin Med Assoc"},{"key":"2024052222435882000_2.2.171.6","first-page":"205","article-title":"Endovascular embolization of intractable epistaxis","volume":"63","author":"Luo","year":"2000","journal-title":"J Chin Med Assoc"},{"key":"2024052222435882000_2.2.171.7","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.10.1255"},{"key":"2024052222435882000_2.2.171.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70233-5"},{"key":"2024052222435882000_2.2.171.9","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199806000-00018"},{"key":"2024052222435882000_2.2.171.10","first-page":"373","article-title":"Endovascular treatment of intractable epistaxis\u2013results of a 4-year local audit","volume":"94","author":"Duncan","year":"2004","journal-title":"S Afr Med J"},{"key":"2024052222435882000_2.2.171.11","doi-asserted-by":"publisher","DOI":"10.1080\/00016480701596070"},{"key":"2024052222435882000_2.2.171.12","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1177\/194589240401800513","article-title":"Embolization for the treatment of idiopathic posterior epistaxis","volume":"18","author":"Gurney","year":"2004","journal-title":"Am J Rhinol"},{"key":"2024052222435882000_2.2.171.13","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1259\/bjr.73.875.11144790","article-title":"Superselective embolisation for intractable idiopathic epistaxis","volume":"73","author":"Oguni","year":"2000","journal-title":"Br J Radiol"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jnis.2009.001834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T06:30:51Z","timestamp":1716445851000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/jnis.2009.001834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,27]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,5,27]]},"published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1136\/jnis.2009.001834"],"URL":"https:\/\/doi.org\/10.1136\/jnis.2009.001834","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"value":"1759-8478","type":"print"},{"value":"1759-8486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5,27]]}}}