Semin intervent Radiol 2020; 37(02): 150-156
DOI: 10.1055/s-0040-1709156
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Treatment of Epistaxis

Joan C. Wojak
1  Department of Radiology, Our Lady of Lourdes Regional Medical Center, Lafayette, Louisiana
2  Department of Radiology, Louisiana State University School of Medicine, New Orleans, Louisiana
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2020 (online)


Epistaxis is not uncommon, with up to 60% of the population suffering from at least one episode in their lifetime and as many as 6% presenting for medical attention. An analysis of emergency room (ER) visits in the United States between 2009 and 2011 identified 1.2 million encounters for epistaxis, accounting for 0.32% of ER visits. Approximately 6% of patients will require more aggressive, invasive management in the form of transnasal ligation of the sphenopalatine artery or endovascular embolization. This article reviews the epidemiology, rationale for endovascular treatment, strategy for treatment, endovascular technique, postprocedural follow-up, and complications and their management.