Stentgraft-implantation for treatment of internal carotid artery injury during endonasal sinus surgery.
BACKGROUND
Damage of the internal carotid artery (ICA) is very rare but can be a dramatic complication of endonasal sinus surgery. In the literature only a few cases are reported, some of them with fatal results.


METHODS
We present two cases with massive bleeding of the ICA caused by endonasal sinus surgery.


RESULTS
In both cases bleeding could be stopped sufficiently by implanting a stentgraft.


CONCLUSIONS
The lumen of the artery could be preserved and no neurological deficits were observed.
Lippert
Burkard M
BM
Department of Otorhinolaryngology, Head and Neck Surgery, University of Mainz, Germany. lippert@hno.klinik.uni-mainz.de
Ringel
Kurt
K
Stoeter
Peter
P
Hey
Otto
O
Mann
Wolf J
WJ
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy; D020212:Carotid Artery Injuries / Q000209:etiology / Q000628:therapy*; D004724:Endoscopy; D004844:Epistaxis / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D010256:Paranasal Sinuses / Q000601:surgery*; D013101:Sphenoid Sinus / Q000601:surgery; D015607:Stents; D014654:Vascular Patency