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Internal carotid artery injury

Injury of the internal carotid artery during endoscopic endonasal skull base surgery is a feared and perilous scenario.

The article of AlQahtani et al. discusses perioperative strategies to prevent or manage an internal carotid artery injury to optimize outcomes. Meticulous preoperative planning is crucial in preventing its occurrence and minimizing its consequences. An effective plan of action relies on a well-prepared protocol, availability of proper instruments and devices, and an experienced multidisciplinary team. Intraoperative control of hemorrhage and stabilization of the patient's cardiovascular status is followed by an angiography and endovascular treatment whenever possible. Close clinical and radiologic monitoring of the patient prevents early and late complications 1).

AlQahtani A, Castelnuovo P, Nicolai P, Prevedello DM, Locatelli D, Carrau RL. Injury of the Internal Carotid Artery During Endoscopic Skull Base Surgery: Prevention and Management Protocol. Otolaryngol Clin North Am. 2016 Feb;49(1):237-52. doi: 10.1016/j.otc.2015.09.009. Review. PubMed PMID: 26614841.
internal_carotid_artery_injury.txt · Last modified: 2015/12/12 10:02 (external edit)