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Endovascular management of intractable head and neck bleedings

Case 1 :Elderly man came with massive bleeding from his mouth.He had history of radiation to neck for the treatemnt of cancer.
 
 
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Extravasation of contrast from lingual artery is seen on selective lingual angiogram.
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Blotch of contrast is seen in oropharynx indicating the site of leak
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Bleeder was blocked with a coil. Postembolization angiogram shows cessation of bleed.

These life threatening conditions can be salvaged only by Interventional radiology procedures .

 

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