Evidence map›Paper›PMID 38002574›Full record

ReviewJournal of clinical medicine2023

Endovascular Embolization for Epistaxis: A Single Center Experience and Meta-Analysis.

Kareem El Naamani, Charles Morse, Marc Ghanem, Julie Barbera, Abdelaziz Amllay, Grace Severance, Ramon Ruiz, Ahmad Sweid, Michael R Gooch, Nabeel A Herial and 4 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Kareem El NaamaniDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Charles MorseDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Marc GhanemSchool of Medicine, Lebansese American University, Beirut 1102-2801, Lebanon.
Julie BarberaDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.ORCID 0000-0003-3638-9225
Abdelaziz AmllaySchool of Medicine, Hassan II University, Casablanca 8118, Morocco.ORCID 0000-0003-3357-4134
Grace SeveranceDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Ramon RuizDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Ahmad SweidDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Michael R GoochDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Nabeel A HerialDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Pascal JabbourDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.ORCID 0000-0002-8965-2413
Robert H RosenwasserDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Gurston G NyquistDepartment of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
Stavropoula TjoumakarisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal treatment for intractable epistaxis is still controversial. Various studies have demonstrated high success rates and low complication rates for endovascular embolization. Herein, the authors report an institutional experience and meta-analysis in terms of efficacy and safety of endovascular embolization of intractable epistaxis. This was a retrospective observational study of 35 patients with epistaxis who underwent 40 embolization procedures between 2010 and 2023. The primary outcome was immediate success defined by immediate cessation of epistaxis at the end of the procedure. Immediate success was achieved in most of the procedures (39, 97.5%). During follow-up, three (7.5%) patients experienced a rebleed. Forty-one studies from 3595 articles were identified for inclusion in the meta-analysis and comprised 1632 patients. The mean pooled age was 57.5 years (95% CI: 57.2-57.8) and most patients were males (mean: 70.4, 95% CI: 69.8-71.0). Immediate success was achieved at a pooled mean of 90.9% (95% CI: 90.4-91.4) and rebleeding was observed at a pooled mean of 17% (95% CI: 16.5-17.5). In conclusion, endovascular embolization proved to be both safe and effective in treating intractable epistaxis carrying a low risk of post-operative stroke.

Indexed as

embolizationepistaxismeta-analysisrebleedingsuccessful embolization

Identifiers

PMID38002574
PMCPMC10672438

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.