Laryngo- rhino- otologie
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Laryngo- rhino- otologie · May 2009
Case Reports[Injury of ICA during endonasal sinus surgery and management by endovascular stent application].
Injury of the internal carotid artery (ICA) during endonasal sinus surgery is rare but a life-threatening situation for the patient. For adequate treatment endovascular therapy as embolization or balloon occlusion is usually performed although there is a high risk of irreversible neurological deficits. ⋯ Although vascular stents are difficult to place in the intrasphenoidal course of the ICA, it provides an effective closure of the vascular injury and above all a sufficient cerebral perfusion, therefore, the risk of neurological defects can be reduced.