• Otolaryngol. Clin. North Am. · Jun 2016

    Review

    Management of Major Vascular Injury During Endoscopic Endonasal Skull Base Surgery.

    • Paul A Gardner, Carl H Snyderman, Juan C Fernandez-Miranda, and Brian T Jankowitz.
    • Department of Neurological Surgery, University of Pittsburgh School of Medicine, 200 Lothrop Street, PUH B-400, Pittsburgh, PA 15213, USA. Electronic address: gardpa@upmc.edu.
    • Otolaryngol. Clin. North Am. 2016 Jun 1; 49 (3): 819-28.

    AbstractA major vascular injury is the most feared complication of endoscopic sinus and skull base surgery. Risk factors for vascular injury are discussed, and an algorithm for management of a major vascular injury is presented. A team of surgeons (otolaryngology and neurosurgery) is important for identification and control of a major vascular injury applying basic principles of vascular control. A variety of techniques can be used to control a major injury, including coagulation, a muscle patch, sacrifice of the artery, and angiographic stenting. Immediate and close angiographic follow-up is critical to prevent and manage subsequent complications of vascular injury. Copyright © 2016 Elsevier Inc. All rights reserved.

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