Endovascular treatment for posterior epistaxis: should it still be considered a last-resort option? A literature review - Takeaways - MDSpire

Endovascular treatment for posterior epistaxis: should it still be considered a last-resort option? A literature review

  • By

  • Hector R. Martinez

  • Daniel F. Aguilera-Maldonado

  • Andrea Paola Sanchez-Cantu

  • Patricia Maria Orviz-Ortiz

  • Oscar I. Paz-Sanchez

  • Nerea Martin del Campo

  • Carlos Cuilty-Siller

  • Karla Santos-Santillan

  • Jorge Arechavaleta Santos

  • Oscar Gutierrez Trevino

  • Beatriz Elena Perez-Martinez

  • Jose A. Figueroa-Sanchez

  • April 7, 2026

  • 0 min

Share

  • 1

    Posterior epistaxis is a challenging otorhinolaryngological emergency requiring aggressive management due to its variable etiologies and risk factors.

  • 2

    Endovascular therapy is a feasible and safe alternative to traditional treatments for posterior epistaxis, despite being labeled a last-resort option.

  • 3

    A thorough angiographic assessment is essential before endovascular treatment to identify the bleeding site and avoid complications like stroke or blindness.

  • 4

    Effective management of posterior epistaxis necessitates understanding the complex vascular anatomy of the nasal region and its potential dangerous anastomoses.

  • 5

    Endovascular treatment should not be reserved solely for intractable cases, as it may provide a viable option for managing posterior epistaxis.

Original Source(s)

Endovascular treatment for posterior epistaxis: should it still be considered a last-resort option? A literature review

  • by Hector R. Martinez, Daniel F. Aguilera-Maldonado, Andrea Paola Sanchez-Cantu, Patricia Maria Orviz-Ortiz, Oscar I. Paz-Sanchez, Nerea Martin del Campo, Carlos Cuilty-Siller, Karla Santos-Santillan, Jorge Arechavaleta Santos, Oscar Gutierrez Trevino, Beatriz Elena Perez-Martinez, Jose A. Figueroa-Sanchez

  • April 7, 2026

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