J Rhinol.
2015 Nov;22(2):116-120. 10.18787/jr.2015.22.2.116.
A Case of the Carotid-Cavernous Fistula Due to the Internal Carotid Artery Injury During Endoscopic Sinus Surgery
- Affiliations
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- 1Department of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. jknam0266@naver.com
- KMID: 2223208
- DOI: http://doi.org/10.18787/jr.2015.22.2.116
Abstract
- Rupture of the internal carotid artery (ICA) during endoscopic sinus surgery is a rare complication. However, it can potentially result in death within minutes. In the event of a traumatic injury to the ICA during sphenoid sinus exploration, it is very difficult to control the bleeding. We present a case of carotid-cavernous fistula after an accidentally-developed ICA bleed during endoscopic sphenoidotomy. The patient was successfully treated with endovascular embolization techniques that included detachable microcoils.
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