6533b855fe1ef96bd12b08e0

RESEARCH PRODUCT

Stentgraft-Implantation for Treatment of Internal Carotid Artery Injury during Endonasal Sinus Surgery

Burkard M. LippertKurt RingelPeter StoeterOtto HeyWolf J. Mann

subject

AdultMalemedicine.medical_specialtySphenoid SinusCarotid arteriesLumen (anatomy)03 medical and health sciences0302 clinical medicinemedicine.arteryParanasal SinusesMassive bleedingHumansMedicineIntraoperative Complications030223 otorhinolaryngologyVascular Patencybusiness.industryEndoscopySinus surgerySurgeryEpistaxismedicine.anatomical_structureOtorhinolaryngology030220 oncology & carcinogenesisInternal carotid artery injuryFemaleStentsInternal carotid arteryCarotid Artery InjuriesbusinessComplicationAneurysm FalseMagnetic Resonance AngiographyArtery

description

Background Damage of the internal carotid artery (ICA) is very rare but can be a dramatic complication of endonasal sinus surgery. In the literature only a few cases are reported, some of them with fatal results. Methods We present two cases with massive bleeding of the ICA caused by endonasal sinus surgery. Results In both cases bleeding could be stopped sufficiently by implanting a stentgraft. Conclusion The lumen of the artery could be preserved and no neurological deficits were observed.

https://doi.org/10.2500/ajr.2007.21.3013