A Case of the Carotid-Cavernous Fistula Due to the Internal Carotid Artery Injury During Endoscopic Sinus Surgery

Kim, Jae Ki; Yang, Seong Kyeong; Shin, Dan Bi; Nam, Jung Gwon

doi:2015.22.2.116

J Rhinol > Volume 22(2); 2015

Case Report

Journal of Rhinology 2015;22(2):116-120.
Published online November 30, 2015.
DOI: https://doi.org/10.18787/jr.2015.22.2.116

A Case of the Carotid-Cavernous Fistula Due to the Internal Carotid Artery Injury During Endoscopic Sinus Surgery

Jae Ki Kim, Seong Kyeong Yang, Dan Bi Shin, Jung Gwon Nam

Department of Otolaryngology-Head and Neck Surgery, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. jknam0266@naver.com

부비동 내시경수술 중 발생한 내경 동맥 손상으로 인해서 병발한 경동맥-해면정맥동루 1례

김재기, 양성경, 신단비, 남정권

울산대학교 의과대학 울산대학교병원 이비인후과학교실

Abstract

Rupture of the internal carotid artery (ICA) during endoscopic sinus surgery is a rare complication. However, it can potentially result in death within minutes. In the event of a traumatic injury to the ICA during sphenoid sinus exploration, it is very difficult to control the bleeding. We present a case of carotid-cavernous fistula after an accidentally-developed ICA bleed during endoscopic sphenoidotomy. The patient was successfully treated with endovascular embolization techniques that included detachable microcoils.

Key Words: Internal carotid artery;Carotid-cavernous sinus fistula