A Case of the Carotid-Cavernous Fistula Due to the Internal Carotid Artery Injury During Endoscopic Sinus Surgery.
10.18787/jr.2015.22.2.116
- Author:
Jae Ki KIM
1
;
Seong Kyeong YANG
;
Dan Bi SHIN
;
Jung Gwon NAM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. jknam0266@naver.com
- Publication Type:Case Report
- Keywords:
Internal carotid artery;
Carotid-cavernous sinus fistula
- MeSH:
Carotid Artery, Internal*;
Carotid-Cavernous Sinus Fistula;
Fistula*;
Hemorrhage;
Humans;
Rupture;
Sphenoid Sinus
- From:Journal of Rhinology
2015;22(2):116-120
- CountryRepublic of Korea
- Language:Korean
-
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.
