Journal of Rhinology  2015;22(2):116-120

doi: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.

Jae Ki KIM 1 ; Seong Kyeong YANG ; Dan Bi SHIN ; Jung Gwon NAM

Affiliations

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Keywords

Internal carotid artery; Carotid-cavernous sinus fistula

Country

Republic 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.