BackTable / ENT / Podcast / Episode #3

Managing Epistaxis Alongside IR

with Dr. Sabeen Dhand

IR Sabeen Dhand and ENT Ashley Agan discuss management of Epistaxis, including how to effectively pack the nose, and when SPA ligation or arterial embolization are necessary. Dr. Dhand also describes his arterial embolization technique, including important pitfalls to avoid.

Managing Epistaxis Alongside IR with Dr. Sabeen Dhand on the BackTable ENT Podcast)
Ep 3 Managing Epistaxis Alongside IR with Dr. Sabeen Dhand
00:00 / 01:04

BackTable, LLC (Producer). (2020, August 4). Ep. 3 – Managing Epistaxis Alongside IR [Audio podcast]. Retrieved from https://www.backtable.com

Earn CME

Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs.
Follow the button below to get started with CMEfy.

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Sabeen Dhand discusses Managing Epistaxis Alongside IR on the BackTable 3 Podcast

Dr. Sabeen Dhand

Dr. Sabeen Dhand is a practicing interventional radiologist with PIH Health in Los Angeles.

Dr. Ashley Agan discusses Managing Epistaxis Alongside IR on the BackTable 3 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.

Dr. Gopi Shah discusses Managing Epistaxis Alongside IR on the BackTable 3 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

In this episode, Dr. Sabeen Dhand, an Interventional Radiologist, joins our hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss epistaxis and the evaluation and management of different causes of epistaxis.

Dr. Agan and Dr. Dhand start the discussion by bringing up common presentations of epistaxis from both an ENT standpoint as well as IR; with the usual presentation being initially to ENT with possible referral to IR for embolization. They then continue to speak about initial treatments for epistaxis in the ED, which entails use of pressure, Afrin, and nasal packing or cauterization. If those measures aren’t sufficient, further examination in the OR may be warranted to find specific location and cause. In the case of a posterior nosebleed, usually from the sphenopalatine artery (SPA), with brisk bleeding and/or failure of ligation, SPA embolization by IR may be of use. Dr. Dhand mentions a contraindication for SPA embolization in the case of the ophthalmic artery anastomosis between the Internal Carotid Artery and External Carotid Artery due to risk of stroke and blindness. Different sources of bleeding should also be evaluated.

The discussion rounds off with the summarization of initial treatment of epistaxis. Two important considerations include proper nasal packing, pushing back into the nose and not straight up, as well as avoiding compressing nasal structures and causing necrosis and further mucosal irritation increasing bleeding risk.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Earn CME When You Listen to BackTable CMEfy

Up Next

The Ins and Outs of Ear Tubes with Dr. Ashley Murray and Dr. Gopi Shah on the BackTable ENT Podcast)
BackTable ENT First Year Podcast Anniversary! with Dr. Gopi Shah and Dr. Ashley Agan on the BackTable ENT Podcast)
You Can't Pour From An Empty Cup: Wellness in ENT with Dr. Ashley Agan on the BackTable ENT Podcast)
In-Office Procedures for Nasal Valve Obstruction with Dr. Mary Ashmead on the BackTable ENT Podcast)

Articles

Topics

Epistaxis Condition Overview

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.