Radiological Diagnosis and Management of Epistaxis View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-11-15

AUTHORS

Antonín Krajina, Viktor Chrobok

ABSTRACT

The majority of episodes of spontaneous posterior epistaxis treated with embolisation are idiopathic in nature. The angiographic findings are typically normal. Specific angiographic signs are rare and may include the following: a tumour blush, telangiectasia, aneurysm, and/or extravasation. Selective internal carotid artery (ICA) angiography may show rare causes of epistaxis, such as traumatic or mycotic aneurysms, which require different treatment approaches. Complete bilateral selective external and internal carotid angiograms are essential to evaluation. The images should be analysed for detection of central retinal blush in the external carotid artery (ECA) and anastomoses between the branches of the ECA and ICA. Monocular blindness and stroke are two of the most severe complications. Embolisation aims to decrease flow to the bleeding nasal mucosa while avoiding necrosis of the nasal skin and palate mucosa. Embolisation is routinely performed with a microcatheter positioned in the internal maxillary artery distal to the origin of the meningeal arteries. A guiding catheter should be placed in the proximal portion of the ECA to avoid vasospasm. Embolisation with microparticles is halted when the peripheral branches of the sphenopalatine artery are occluded. The use of coils is not recommended because recurrent epistaxis may occur due to proximal embolization; moreover, the option of repeat distal embolisation is lost. The success rate of embolisation therapy (accounting for late recurrence of bleeding) varies between 71 and 94 %. Results from endoscopic surgery are quite comparable. When epistaxis is refractory to nasal packing or endoscopic surgery, embolisation is the treatment of choice in some centres. More... »

PAGES

26-36

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-013-0776-y

DOI

http://dx.doi.org/10.1007/s00270-013-0776-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037406124

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24232035


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1102", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Cardiorespiratory Medicine and Haematology", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Carotid Arteries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Embolization, Therapeutic", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Epistaxis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Radiography", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Department of Radiology, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic", 
          "id": "http://www.grid.ac/institutes/grid.412539.8", 
          "name": [
            "Department of Radiology, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Krajina", 
        "givenName": "Anton\u00edn", 
        "id": "sg:person.01056654004.28", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01056654004.28"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic", 
          "id": "http://www.grid.ac/institutes/grid.412539.8", 
          "name": [
            "Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Chrobok", 
        "givenName": "Viktor", 
        "id": "sg:person.01203321722.63", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01203321722.63"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/s00270-003-0023-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052828605", 
          "https://doi.org/10.1007/s00270-003-0023-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00405-011-1823-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047815853", 
          "https://doi.org/10.1007/s00405-011-1823-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-003-0217-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039177424", 
          "https://doi.org/10.1007/s00270-003-0217-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s002709900439", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050025366", 
          "https://doi.org/10.1007/s002709900439"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00405-006-0010-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015496471", 
          "https://doi.org/10.1007/s00405-006-0010-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00405-012-2339-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047020003", 
          "https://doi.org/10.1007/s00405-012-2339-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00270-011-0155-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028994657", 
          "https://doi.org/10.1007/s00270-011-0155-5"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2013-11-15", 
    "datePublishedReg": "2013-11-15", 
    "description": "The majority of episodes of spontaneous posterior epistaxis treated with embolisation are idiopathic in nature. The angiographic findings are typically normal. Specific angiographic signs are rare and may include the following: a tumour blush, telangiectasia, aneurysm, and/or extravasation. Selective internal carotid artery (ICA) angiography may show rare causes of epistaxis, such as traumatic or mycotic aneurysms, which require different treatment approaches. Complete bilateral selective external and internal carotid angiograms are essential to evaluation. The images should be analysed for detection of central retinal blush in the external carotid artery (ECA) and anastomoses between the branches of the ECA and ICA. Monocular blindness and stroke are two of the most severe complications. Embolisation aims to decrease flow to the bleeding nasal mucosa while avoiding necrosis of the nasal skin and palate mucosa. Embolisation is routinely performed with a microcatheter positioned in the internal maxillary artery distal to the origin of the meningeal arteries. A guiding catheter should be placed in the proximal portion of the ECA to avoid vasospasm. Embolisation with microparticles is halted when the peripheral branches of the sphenopalatine artery are occluded. The use of coils is not recommended because recurrent epistaxis may occur due to proximal embolization; moreover, the option of repeat distal embolisation is lost. The success rate of embolisation therapy (accounting for late recurrence of bleeding) varies between 71 and 94\u00a0%. Results from endoscopic surgery are quite comparable. When epistaxis is refractory to nasal packing or endoscopic surgery, embolisation is the treatment of choice in some centres.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00270-013-0776-y", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1091062", 
        "issn": [
          "0174-1551", 
          "1432-086X"
        ], 
        "name": "CardioVascular and Interventional Radiology", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "37"
      }
    ], 
    "keywords": [
      "external carotid artery", 
      "endoscopic surgery", 
      "internal carotid artery angiography", 
      "specific angiographic signs", 
      "internal carotid angiogram", 
      "majority of episodes", 
      "treatment of choice", 
      "carotid artery angiography", 
      "management of epistaxis", 
      "different treatment approaches", 
      "use of coils", 
      "embolisation therapy", 
      "mycotic aneurysm", 
      "proximal embolization", 
      "distal embolisation", 
      "posterior epistaxis", 
      "angiographic findings", 
      "artery angiography", 
      "monocular blindness", 
      "severe complications", 
      "rare cause", 
      "artery distal", 
      "recurrent epistaxis", 
      "nasal packing", 
      "angiographic signs", 
      "tumor blush", 
      "guiding catheter", 
      "nasal mucosa", 
      "carotid angiogram", 
      "palate mucosa", 
      "radiological diagnosis", 
      "carotid artery", 
      "meningeal artery", 
      "embolisation", 
      "peripheral branches", 
      "sphenopalatine artery", 
      "nasal skin", 
      "epistaxis", 
      "treatment approaches", 
      "artery", 
      "proximal portion", 
      "success rate", 
      "surgery", 
      "aneurysms", 
      "mucosa", 
      "vasospasm", 
      "embolization", 
      "complications", 
      "angiography", 
      "blush", 
      "anastomosis", 
      "catheter", 
      "angiograms", 
      "extravasation", 
      "therapy", 
      "microcatheter", 
      "stroke", 
      "necrosis", 
      "diagnosis", 
      "blindness", 
      "skin", 
      "distal", 
      "treatment", 
      "episodes", 
      "telangiectasia", 
      "cause", 
      "signs", 
      "ICA", 
      "options", 
      "majority", 
      "findings", 
      "management", 
      "evaluation", 
      "center", 
      "rate", 
      "branches", 
      "use", 
      "portion", 
      "detection", 
      "choice", 
      "origin", 
      "results", 
      "microparticles", 
      "approach", 
      "flow", 
      "images", 
      "coil", 
      "nature", 
      "packing"
    ], 
    "name": "Radiological Diagnosis and Management of Epistaxis", 
    "pagination": "26-36", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1037406124"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00270-013-0776-y"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "24232035"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00270-013-0776-y", 
      "https://app.dimensions.ai/details/publication/pub.1037406124"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-11-24T20:57", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20221124/entities/gbq_results/article/article_592.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00270-013-0776-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00270-013-0776-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00270-013-0776-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00270-013-0776-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00270-013-0776-y'


 

This table displays all metadata directly associated to this object as RDF triples.

207 TRIPLES      21 PREDICATES      126 URIs      111 LITERALS      12 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00270-013-0776-y schema:about N1b337d719e054c4a8e463ec692873bc1
2 N8e9894cc34724023b8a169e634a4b1b7
3 N937379821a064d888d337fc08389f36f
4 Nb9f43a03602346498f59cc13cda64985
5 Ne1bcf5303ebb4923b5be54ede394688a
6 anzsrc-for:11
7 anzsrc-for:1102
8 schema:author N422fa9b01b404749b75440418370720c
9 schema:citation sg:pub.10.1007/s00270-003-0023-z
10 sg:pub.10.1007/s00270-003-0217-4
11 sg:pub.10.1007/s00270-011-0155-5
12 sg:pub.10.1007/s002709900439
13 sg:pub.10.1007/s00405-006-0010-5
14 sg:pub.10.1007/s00405-011-1823-4
15 sg:pub.10.1007/s00405-012-2339-2
16 schema:datePublished 2013-11-15
17 schema:datePublishedReg 2013-11-15
18 schema:description The majority of episodes of spontaneous posterior epistaxis treated with embolisation are idiopathic in nature. The angiographic findings are typically normal. Specific angiographic signs are rare and may include the following: a tumour blush, telangiectasia, aneurysm, and/or extravasation. Selective internal carotid artery (ICA) angiography may show rare causes of epistaxis, such as traumatic or mycotic aneurysms, which require different treatment approaches. Complete bilateral selective external and internal carotid angiograms are essential to evaluation. The images should be analysed for detection of central retinal blush in the external carotid artery (ECA) and anastomoses between the branches of the ECA and ICA. Monocular blindness and stroke are two of the most severe complications. Embolisation aims to decrease flow to the bleeding nasal mucosa while avoiding necrosis of the nasal skin and palate mucosa. Embolisation is routinely performed with a microcatheter positioned in the internal maxillary artery distal to the origin of the meningeal arteries. A guiding catheter should be placed in the proximal portion of the ECA to avoid vasospasm. Embolisation with microparticles is halted when the peripheral branches of the sphenopalatine artery are occluded. The use of coils is not recommended because recurrent epistaxis may occur due to proximal embolization; moreover, the option of repeat distal embolisation is lost. The success rate of embolisation therapy (accounting for late recurrence of bleeding) varies between 71 and 94 %. Results from endoscopic surgery are quite comparable. When epistaxis is refractory to nasal packing or endoscopic surgery, embolisation is the treatment of choice in some centres.
19 schema:genre article
20 schema:isAccessibleForFree true
21 schema:isPartOf N164e105f2b8848f7bc4f7ee0c93088d4
22 N588f707e3dba4cd581b8c50442cdd070
23 sg:journal.1091062
24 schema:keywords ICA
25 anastomosis
26 aneurysms
27 angiograms
28 angiographic findings
29 angiographic signs
30 angiography
31 approach
32 artery
33 artery angiography
34 artery distal
35 blindness
36 blush
37 branches
38 carotid angiogram
39 carotid artery
40 carotid artery angiography
41 catheter
42 cause
43 center
44 choice
45 coil
46 complications
47 detection
48 diagnosis
49 different treatment approaches
50 distal
51 distal embolisation
52 embolisation
53 embolisation therapy
54 embolization
55 endoscopic surgery
56 episodes
57 epistaxis
58 evaluation
59 external carotid artery
60 extravasation
61 findings
62 flow
63 guiding catheter
64 images
65 internal carotid angiogram
66 internal carotid artery angiography
67 majority
68 majority of episodes
69 management
70 management of epistaxis
71 meningeal artery
72 microcatheter
73 microparticles
74 monocular blindness
75 mucosa
76 mycotic aneurysm
77 nasal mucosa
78 nasal packing
79 nasal skin
80 nature
81 necrosis
82 options
83 origin
84 packing
85 palate mucosa
86 peripheral branches
87 portion
88 posterior epistaxis
89 proximal embolization
90 proximal portion
91 radiological diagnosis
92 rare cause
93 rate
94 recurrent epistaxis
95 results
96 severe complications
97 signs
98 skin
99 specific angiographic signs
100 sphenopalatine artery
101 stroke
102 success rate
103 surgery
104 telangiectasia
105 therapy
106 treatment
107 treatment approaches
108 treatment of choice
109 tumor blush
110 use
111 use of coils
112 vasospasm
113 schema:name Radiological Diagnosis and Management of Epistaxis
114 schema:pagination 26-36
115 schema:productId N1bd58271f50c41988cc872100c9f68d7
116 N726569e5d9a648759ba341b7272dbf50
117 Ne9f356c234324ec188df2a59284d1c9a
118 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037406124
119 https://doi.org/10.1007/s00270-013-0776-y
120 schema:sdDatePublished 2022-11-24T20:57
121 schema:sdLicense https://scigraph.springernature.com/explorer/license/
122 schema:sdPublisher N9199aa259fdb462fa421350294048910
123 schema:url https://doi.org/10.1007/s00270-013-0776-y
124 sgo:license sg:explorer/license/
125 sgo:sdDataset articles
126 rdf:type schema:ScholarlyArticle
127 N1185875190bf4c26b4e0943f03e8e823 rdf:first sg:person.01203321722.63
128 rdf:rest rdf:nil
129 N164e105f2b8848f7bc4f7ee0c93088d4 schema:volumeNumber 37
130 rdf:type schema:PublicationVolume
131 N1b337d719e054c4a8e463ec692873bc1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
132 schema:name Carotid Arteries
133 rdf:type schema:DefinedTerm
134 N1bd58271f50c41988cc872100c9f68d7 schema:name doi
135 schema:value 10.1007/s00270-013-0776-y
136 rdf:type schema:PropertyValue
137 N422fa9b01b404749b75440418370720c rdf:first sg:person.01056654004.28
138 rdf:rest N1185875190bf4c26b4e0943f03e8e823
139 N588f707e3dba4cd581b8c50442cdd070 schema:issueNumber 1
140 rdf:type schema:PublicationIssue
141 N726569e5d9a648759ba341b7272dbf50 schema:name dimensions_id
142 schema:value pub.1037406124
143 rdf:type schema:PropertyValue
144 N8e9894cc34724023b8a169e634a4b1b7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Radiography
146 rdf:type schema:DefinedTerm
147 N9199aa259fdb462fa421350294048910 schema:name Springer Nature - SN SciGraph project
148 rdf:type schema:Organization
149 N937379821a064d888d337fc08389f36f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
150 schema:name Embolization, Therapeutic
151 rdf:type schema:DefinedTerm
152 Nb9f43a03602346498f59cc13cda64985 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
153 schema:name Epistaxis
154 rdf:type schema:DefinedTerm
155 Ne1bcf5303ebb4923b5be54ede394688a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
156 schema:name Humans
157 rdf:type schema:DefinedTerm
158 Ne9f356c234324ec188df2a59284d1c9a schema:name pubmed_id
159 schema:value 24232035
160 rdf:type schema:PropertyValue
161 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
162 schema:name Medical and Health Sciences
163 rdf:type schema:DefinedTerm
164 anzsrc-for:1102 schema:inDefinedTermSet anzsrc-for:
165 schema:name Cardiorespiratory Medicine and Haematology
166 rdf:type schema:DefinedTerm
167 sg:journal.1091062 schema:issn 0174-1551
168 1432-086X
169 schema:name CardioVascular and Interventional Radiology
170 schema:publisher Springer Nature
171 rdf:type schema:Periodical
172 sg:person.01056654004.28 schema:affiliation grid-institutes:grid.412539.8
173 schema:familyName Krajina
174 schema:givenName Antonín
175 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01056654004.28
176 rdf:type schema:Person
177 sg:person.01203321722.63 schema:affiliation grid-institutes:grid.412539.8
178 schema:familyName Chrobok
179 schema:givenName Viktor
180 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01203321722.63
181 rdf:type schema:Person
182 sg:pub.10.1007/s00270-003-0023-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1052828605
183 https://doi.org/10.1007/s00270-003-0023-z
184 rdf:type schema:CreativeWork
185 sg:pub.10.1007/s00270-003-0217-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039177424
186 https://doi.org/10.1007/s00270-003-0217-4
187 rdf:type schema:CreativeWork
188 sg:pub.10.1007/s00270-011-0155-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028994657
189 https://doi.org/10.1007/s00270-011-0155-5
190 rdf:type schema:CreativeWork
191 sg:pub.10.1007/s002709900439 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050025366
192 https://doi.org/10.1007/s002709900439
193 rdf:type schema:CreativeWork
194 sg:pub.10.1007/s00405-006-0010-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015496471
195 https://doi.org/10.1007/s00405-006-0010-5
196 rdf:type schema:CreativeWork
197 sg:pub.10.1007/s00405-011-1823-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047815853
198 https://doi.org/10.1007/s00405-011-1823-4
199 rdf:type schema:CreativeWork
200 sg:pub.10.1007/s00405-012-2339-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047020003
201 https://doi.org/10.1007/s00405-012-2339-2
202 rdf:type schema:CreativeWork
203 grid-institutes:grid.412539.8 schema:alternateName Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic
204 Department of Radiology, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic
205 schema:name Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic
206 Department of Radiology, University Hospital Hradec Kralove and Medical Faculty of Charles University, 500 05, Hradec Kralove, Czech Republic
207 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...