2025, Number 1
Embolization of maxillary arteries for the management of severe epistaxis in Osler- Weber-Rendu syndrome
Language: Spanish
References: 9
Page: 35-40
PDF size: 230.99 Kb.
ABSTRACT
Background: Osler-Weber-Rendu syndrome is an autosomal dominant inheritance disorder, characterized by mucocutaneous and visceral telangiectasias. In 90% of the cases, recurrent epistaxis is present, the severity varies from case to case and can affect the quality of life of patients.Clinical case: A 75-year-old female patient, diagnosed with Osler-Weber-Rendu syndrome, was admitted to our hospital due to an anterior epistaxis with a month of evolution and no remission for packing with hemostatic material, surgical exploration nor cauterization. Angiography and embolization were performed without complications.
Conclusions: Embolization is a safe procedure that can be a treatment in patients with Osler-Weber-Rendu syndrome without remission of epistaxis.
REFERENCES
Robard L, Michel J, Prulière Escabasse V, Bequignon E, et al. Guidelines of the French Society of Otorhinolaryngology(SFORL) (short version). Specific treatment of epistaxis in Rendu-Osler-Weber disease. EurAnn Otorhinolaryngol Head Neck Dis 2017; 134 (1): 37-41. http://dx.doi.org/10.1016/j.anorl.2016.09.010
Mcdonald J, Bayrak-Toydemir P, Demille D, Wooderchak-Donahue W, Whitehead K. Curaçao diagnosticcriteria for hereditary hemorrhagic telangiectasia is highly predictive of a pathogenic variant in ENG orACVRL1 (HHT1 and HHT2). Genet Med 2020; 22 (7): 1201-1205. https://doi.org/10.1038/s41436-020-0775-8