Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery

Internal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are rare life-threatening events. We describe a technique to manage ICA injuries based on the use of Foley catheters.A 26-year-old female underwent endoscopic transnasal trans-sphenoidal removal of pituitary adenoma. Ce...

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Main Authors: Matteo Alicandri-Ciufelli, Francesco Maccarrone, Cecilia Botti, Giacomo Pavesi, Livio Presutti
Format: Article
Language:English
Published: Pensoft Publishers 2021-10-01
Series:Folia Medica
Subjects:
Online Access:https://foliamedica.bg/article/56461/download/pdf/
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author Matteo Alicandri-Ciufelli
Francesco Maccarrone
Cecilia Botti
Giacomo Pavesi
Livio Presutti
author_facet Matteo Alicandri-Ciufelli
Francesco Maccarrone
Cecilia Botti
Giacomo Pavesi
Livio Presutti
author_sort Matteo Alicandri-Ciufelli
collection DOAJ
description Internal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are rare life-threatening events. We describe a technique to manage ICA injuries based on the use of Foley catheters.A 26-year-old female underwent endoscopic transnasal trans-sphenoidal removal of pituitary adenoma. Cerebrospinal fluid leak occurred 4 days postoperatively. During repair procedure, accidental injury of ICA occurred. Emergency nasal packing through positioning of four Foley urologic catheters was successfully performed to stop bleeding. The patient did not report neurologic deficits.In author’s opinion, Foley catheters are suitable to obtain immediate bleeding control since they are rapidly available and easily usable.
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spelling doaj.art-730545a886b74d30ab2a36a1353bb4262022-12-21T16:50:44ZengPensoft PublishersFolia Medica1314-21432021-10-0163580981410.3897/folmed.63.e5646156461Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgeryMatteo Alicandri-Ciufelli0Francesco Maccarrone1Cecilia Botti2Giacomo Pavesi3Livio Presutti4University Hospital of ModenaUniversity Hospital of ModenaUniversity of Modena and Reggio EmiliaUniversity Hospital of ModenaUniversity Hospital of ModenaInternal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are rare life-threatening events. We describe a technique to manage ICA injuries based on the use of Foley catheters.A 26-year-old female underwent endoscopic transnasal trans-sphenoidal removal of pituitary adenoma. Cerebrospinal fluid leak occurred 4 days postoperatively. During repair procedure, accidental injury of ICA occurred. Emergency nasal packing through positioning of four Foley urologic catheters was successfully performed to stop bleeding. The patient did not report neurologic deficits.In author’s opinion, Foley catheters are suitable to obtain immediate bleeding control since they are rapidly available and easily usable.https://foliamedica.bg/article/56461/download/pdf/balloon nasal packingendoscopic endonasal surger
spellingShingle Matteo Alicandri-Ciufelli
Francesco Maccarrone
Cecilia Botti
Giacomo Pavesi
Livio Presutti
Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
Folia Medica
balloon nasal packing
endoscopic endonasal surger
title Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
title_full Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
title_fullStr Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
title_full_unstemmed Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
title_short Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
title_sort use of foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
topic balloon nasal packing
endoscopic endonasal surger
url https://foliamedica.bg/article/56461/download/pdf/
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AT francescomaccarrone useoffoleycatheterincontrolofinternalcarotidhemorrhageduringendoscopicendonasalsurgery
AT ceciliabotti useoffoleycatheterincontrolofinternalcarotidhemorrhageduringendoscopicendonasalsurgery
AT giacomopavesi useoffoleycatheterincontrolofinternalcarotidhemorrhageduringendoscopicendonasalsurgery
AT liviopresutti useoffoleycatheterincontrolofinternalcarotidhemorrhageduringendoscopicendonasalsurgery