Epistaxis practice

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Eyes, Ears, Nose and Throatcommon

A 42-year-old woman presents with recurrent anterior epistaxis from the right nostril. She is haemodynamically stable, and firm compression for 15 minutes plus a topical vasoconstrictor has not stopped the bleeding. Anterior rhinoscopy identifies a single bleeding point on the anterior nasal septum that is not currently obscured by blood. What is the most appropriate next step?