Abstract
The intractable, severe posterior epistaxis is sometimes fatal, and there are various methods in management for epistaxis, as nasal packing or surgical ligation of artery. But these methods have occasionally high failure rate and cause many complications. A new radiologic procedure, angiography and percutaneous transcatheter arterial embolization, is useful modality in the point of effectiveness, safety and tolerability in these difficult cases. Recently, we have experienced that a case of severe bilateral epistaxis controlled by digital subtraction angiography and percutaneous transcatheter arterial embolization with Gelfoam of both internal maxillary arteries with good results, so report with review of literatures.
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