Ignite Creation Date:
2024-05-06 @ 6:26 PM
Last Modification Date:
2024-10-26 @ 2:48 PM
Study NCT ID:
NCT05663099
Status:
RECRUITING
Last Update Posted:
2023-12-19
First Post:
2022-12-14
Brief Title:
Cauterization of the Anterior Ethmoidal Artery by Transconjunctival Approach
Sponsor:
University Hospital Strasbourg France
Organization:
University Hospital Strasbourg France
Study Overview
Official Title:
Cauterization of the Anterior Ethmoidal Artery by Transconjunctival Approach
Status:
RECRUITING
Status Verified Date:
2022-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
AEA
Brief Summary:
The incidence of epistaxis varies from 7 to 14 in the general population and represents 30 per 100000 emergency room admissions in adults Most nasal bleeding is self-limiting without the need for specific medical treatment Cauterization under local anesthesia and control of medical comorbidities arterial hypertension and hemostasis disorders are effective in most cases In case of failure of cauterization or in case of more posterior epistaxis an antero-posterior packing can be put in place for 48 hours In case of failure or recurrence of packing removal endoscopic sphenopalatine artery SPA ligation or embolization is proposed In case of persistent epistaxis despite hemostasis of the PSA ligation of the anterior ethmoidal artery AEA is recommended This artery cannot be embolized because of the risk to the ophthalmic artery The ligation of the AEA is most often performed via the external paracanthal approach It can also be performed by endonasal endoscopic approach but involves the performance of an anterior ethmoidectomy a long surgery with a significant risk of complications Its identification by the endonasal route is complicated in the event of abundant bleeding Moreover its endoscopic cauterization is difficult if the artery is not procidente The transconjunctival approach avoids a visible scar and the complications of an ethmoidectomy
Detailed Description:
The objective of the study was to compare the efficacy of transconjunctival and external cauterization of the anterior ethmoidal artery in patients with refractory epistaxis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None