Journal
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA
Volume 49, Issue 3, Pages 819-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.otc.2016.03.003
Keywords
Endoscopic skull base surgery; Internal carotid artery; Pseudoaneurysm; Vascular injury
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A major vascular injury is the most feared complication of endoscopic sinus and skull base surgery. Risk factors for vascular injury are discussed, and an algorithm for management of a major vascular injury is presented. A team of surgeons (otolaryngology and neurosurgery) is important for identification and control of a major vascular injury applying basic principles of vascular control. A variety of techniques can be used to control a major injury, including coagulation, a muscle patch, sacrifice of the artery, and angiographic stenting. Immediate and close angiographic follow-up is critical to prevent and manage subsequent complications of vascular injury.
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