[Successful cure of carotid cavernous fistula with life-threatening apistaxis by intravascular embolism and muscle paste plugging in sphenoid sinus].
OBJECTIVE
To report a successfully healed case of carotid cavernous fistula with life threatening epistaxis by intravascular embolism and muscle paste plugging in sphenoid sinus.


METHODS
The patient was found a tumor in sella turcica by imaging, invading into cavernous sinus and sphenoid sinus. During operation,the internal carotid artery was ruptured, and two times of life-threatening apistaxis were happened. The digital subtraction angiography and intravascular embolism were carried out two times, then, muscle paste was plugged into sphenoid sinus via nasal endoscopy.


RESULTS
The patient was successfully healed. And a flowing up of 8 months showed that epistaxis did not occur again and muscle paste was survival in sphenoid sinus.


CONCLUSIONS
After emergent managements such as nasal plugging and transfusion for epistaxis caused by carotid cavernous fistula, the intravascular embolism, muscle paste plugging in sphenoid sinus under transnasal endoscopic surgery were an available and effective management.
Liang
Yong
Y
Department of Otorhinolaryngology, Nanfang Hospital, First Military Medical University, Guangzhou, 510515, China.
Li
Xiangping
X
Zhang
Wei
W
Peng
Yuping
Y
D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D004724:Endoscopy; D004844:Epistaxis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013101:Sphenoid Sinus