Management of Carotid Artery Injury in Endonasal Surgery
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-b...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2014-10-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395266 |
| _version_ | 1828335582148820992 |
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| author | Vikram Padhye Rowan Valentine Peter-John Wormald |
| author_facet | Vikram Padhye Rowan Valentine Peter-John Wormald |
| author_sort | Vikram Padhye |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T21:50:23Z |
| format | Article |
| id | doaj.art-b88f5fdbba084c7ab0b07ed982f1d9ba |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-04-13T21:50:23Z |
| publishDate | 2014-10-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-b88f5fdbba084c7ab0b07ed982f1d9ba2022-12-22T02:28:27ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642014-10-0118S173S17810.1055/s-0034-1395266Management of Carotid Artery Injury in Endonasal SurgeryVikram Padhye0Rowan Valentine1Peter-John Wormald2Department of Surgery - Otolaryngology, Head & Neck Surgery, The University of Adelaide, South Australia, AustraliaDepartment of Surgery - Otolaryngology, Head & Neck Surgery, The University of Adelaide, South Australia, AustraliaDepartment of Surgery - Otolaryngology, Head & Neck Surgery, The University of Adelaide, South Australia, AustraliaAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395266carotid injuryhemorrhagesinus surgeryendoscopic skull base surgery |
| spellingShingle | Vikram Padhye Rowan Valentine Peter-John Wormald Management of Carotid Artery Injury in Endonasal Surgery International Archives of Otorhinolaryngology carotid injury hemorrhage sinus surgery endoscopic skull base surgery |
| title | Management of Carotid Artery Injury in Endonasal Surgery |
| title_full | Management of Carotid Artery Injury in Endonasal Surgery |
| title_fullStr | Management of Carotid Artery Injury in Endonasal Surgery |
| title_full_unstemmed | Management of Carotid Artery Injury in Endonasal Surgery |
| title_short | Management of Carotid Artery Injury in Endonasal Surgery |
| title_sort | management of carotid artery injury in endonasal surgery |
| topic | carotid injury hemorrhage sinus surgery endoscopic skull base surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395266 |
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