Management of Carotid Artery Injury in Endonasal Surgery
Int. arch. otorhinolaryngol. (Impr.)
;
18(supl.2): 173-178, Apr-Jun/2014. graf
Article
in English
| LILACS
| ID: lil-728758
ABSTRACT
Introduction: Carotid artery injury (CAI) is the most feared and potentially catastrophic intraoperative complication an endoscopic skull base surgeon may face. With the advancement of transnasal endoscopic surgery and the willingness to tackle more diverse pathology, evidence-based management of this life-threatening complication is paramount for patient safety and surgeon confidence. Objectives: We review the current English literature surrounding the management of CAI during endoscopic transnasal surgery. Data Synthesis The searched databases included PubMed, MEDLINE, Cochrane database, LILACS, and BIREME. Keywords included sinus surgery, carotid injury, endoscopic skull base surgery, hemostasis, transsphenoidal and pseudoaneurysm. Conclusions: Review of the literature found the incidence of CAI in endonasal skull base surgery to be as high as 9% in some surgeries. Furthermore, current treatment recommendations can result in damage to critical neurovascular structures. Management decisions must be made in the preoperative, operative, and postoperative setting to ensure adequate treatment of CAI and the prevention of its complications such as pseudoaneurysm. Emphasis should be placed on surgical competency, teamwork, and technical expertise through education and training...
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Carotid Artery Injuries
/
Endoscopy
/
Hemorrhage
Type of study:
Practice guideline
Limits:
Humans
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2014
Type:
Article
Affiliation country:
Australia
Institution/Affiliation country:
The University of Adelaide/AU
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