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AJNR - American Journal of Neuroradiology

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Intralesional Bleomycin Injections for the Palliation of Epistaxis in Hereditary Hemorrhagic Telangiectasia

Ian C. Duncan^a and Leon Van Der Nest^b

^a Unitas Interventional Unit, Centurion, South Africa
^b Olivedale Clinic, Randburg, South Africa

View larger version (158K): [in a new window]   FIG 1. Selective right internal maxillary digital subtraction arteriogram shows multiple small, irregular, opacified lesions in the nasal mucosa, in keeping with telangiectasias. Arrows indicate typical injection sites with the needle placed along a lesion and then directed submucosally under the lesion. The bleomycin mixture is then injected until blanching of the overlying mucosa and telangiectasia is seen.