BackTable / VI / Podcast / Episode #48

Treatment of Epistaxis by IR and ENT

with Dr. Ashley Agan and 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.

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Treatment of Epistaxis by IR and ENT with Dr. Ashley Agan and Dr. Sabeen Dhand on the BackTable VI Podcast)
Ep 48 Treatment of Epistaxis by IR and ENT with Dr. Ashley Agan and Dr. Sabeen Dhand
00:00 / 01:04

BackTable, LLC (Producer). (2019, August 30). Ep. 48 – Treatment of Epistaxis by IR and ENT [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Ashley Agan discusses Treatment of Epistaxis by IR and ENT on the BackTable 48 Podcast

Dr. Ashley Agan

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

Dr. Sabeen Dhand discusses Treatment of Epistaxis by IR and ENT on the BackTable 48 Podcast

Dr. Sabeen Dhand

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

Dr. Gopi Shah discusses Treatment of Epistaxis by IR and ENT on the BackTable 48 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. Ashley Agan and Dr. Sabeen Dhand join Dr. Gopi Shah to discuss IR and ENT treatment of epistaxis. We cover the differences in how epistaxis presents for ENT and IR as well as how epistaxis presents in children and older patients. Dr. Agan tells us about the types of nosebleeds that are common and the general treatment algorithm she follows.

We discuss nasal packing and decongestant sprays for treatment and how to know when to take the patient to the OR. Dr. Agan talks about isolating the bleeding spot, how to use a foley for posterior nosebleeds, and SPA litigation. We discuss why ENT might consult IR for an embolization.

Dr. Dhand tells us about the contraindications for embolization and the procedure for treating the epistaxis. We review the materials that should be used and why it is important to look out for artery connections and pseudoaneurysms. We discuss the pearls and pitfalls of ENT and IR treatment of epistaxis and how to avoid the risk of stroke.

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.

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Articles

Topics

Epistaxis Condition Overview
Learn about Otolaryngology on BackTable VI

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