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.

Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery / Alicandri-Ciufelli, M.; Maccarrone, F.; Botti, C.; Pavesi, G.; Presutti, L.. - In: FOLIA MEDICA. - ISSN 1314-2143. - 63:5(2021), pp. 809-814. [10.3897/folmed.63.e56461]

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

Maccarrone F.;Botti C.;Pavesi G.;Presutti L.
2021

Abstract

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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814
Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery / Alicandri-Ciufelli, M.; Maccarrone, F.; Botti, C.; Pavesi, G.; Presutti, L.. - In: FOLIA MEDICA. - ISSN 1314-2143. - 63:5(2021), pp. 809-814. [10.3897/folmed.63.e56461]
Alicandri-Ciufelli, M.; Maccarrone, F.; Botti, C.; Pavesi, G.; Presutti, L.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11380/1286906
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