Management of pseudo-aneurysm combined with carotid-cavernous fistula after iatrogenic injury of internal carotid artery due to paranasal sinuses surgery – case report

Although infrequent, occurrences of internal carotid artery (ICA) injuries during transnasal procedures can potentially lead to severe neurological deficits or even prove fatal. We present a case of a 54 years old male patient who suffered an iatrogenic ICA lesion resulting in a pseudo-aneurysm and...

Full description

Saved in:
Bibliographic Details
Published inOtolaryngology case reports Vol. 30; p. 100576
Main Authors Knoll, Andreas, Hlavac, Michal, Scheithauer, Marc, Braun, Michael, Schmitz, Bernd, Wirtz, Christian Rainer, Pala, Andrej
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.03.2024
Elsevier
Subjects
Carotid artery injury
Carotid-cavernous fistula
Pseudo-aneurysm
Pseudo-aneurysm
Carotid-cavernous fistula
Carotid artery injury
Online AccessGet full text

Cover

More Information
Summary:Although infrequent, occurrences of internal carotid artery (ICA) injuries during transnasal procedures can potentially lead to severe neurological deficits or even prove fatal. We present a case of a 54 years old male patient who suffered an iatrogenic ICA lesion resulting in a pseudo-aneurysm and direct carotid-cavernous fistula after paranasal sinuses surgery. Successful multirdisciplinary treatment included flow diversion, transsphenoidal surgery and embolization of a carotid-cavernous fistula. A sealing of injured ICA wall and complete occlusion of carotid cavernous fistula led to the patient's discharged without any neurological deficits. ICA injury during transnasal surgery is a rare but dangerous and potentially life-threatening complication necessitating multidisciplinary approach and management in a specialized center.
ISSN:2468-5488
2468-5488
DOI:10.1016/j.xocr.2023.100576