About this trial
Current recommendations consider surgical ligation and supra-selective embolization as equivalent in terms of efficacy and there is no clear consensus to choose between one and the other technique. In the absence of medico-economic studies, these recommendations could not be based on any differences in efficiency between the two techniques. The management of patients with severe non-traumatic epistaxis remains controversial and varies according to the hospital and/or university centers. In practice, the use of one or the other technique depends on the habits of each reference center.
Eligibility criteria
Qualifiers
Patient with severe epistaxis who failed treatment with double tamponade for more than 48 hours.
Patient over 18 years old
Affiliated patient or beneficiary of a social security scheme.
Patient accepting the principle of randomization
Disqualifiers
Patient with epistaxis secondary to facial and/or surgical trauma.
Patient with epistaxis related to a malignant tumor cause
Patient with a history of ligation or embolization
Patient under legal protection and/or curatorship and/or guardianship.
Trial design
Treatments tested in this trial
- endoscopic ligation
- Supra-selective embolization