Endovascular treatment of epistaxis.

Aim: Embolization of external carotid vessels in the treatment of intractable epistaxis is not well documented in Australasia. The aim of the present retrospective study was to audit our experience with the technique, and to compare it with other centres.

Methods: Retrospective review.

Gelfoam embolization of a distal coronary artery guidewire perforation.

A guidewire-induced distal coronary artery perforation presenting with cardiac tamponade was occluded by distal Gelfoam embolization via an infusion catheter. This extends the treatment options for this rare complication of coronary interventional procedures. Cathet.

The value of pulmonary angiograms when lung scans disagree with clinical impressions about emboli.

When selective magnification pulmonary angiography was done within 48 hours of a Ventilation/Perfusion (VP) scan, disagreement between scan and angiogram findings was common. Correlation was poor in both high and low probability of embolism groups as defined by scan. Analysis of individual scan diagnostic criteria showed them to be as unreliable as all of them taken together.

Intractable postpartum haemorrhage managed by angiographic embolization: case report and review.

A case of intractable postpartum haemorrhage successfully managed by angiographic embolization is presented. The literature concerning angiographic embolization and internal iliac artery ligation is reviewed. Angiographic embolization is a superior method to internal iliac artery ligation in appropriately selected cases of obstetric haemorrhage, and may also be used successfully in cases where internal iliac ligation and/or hysterectomy has failed to control pelvic haemorrhage.