Management of Major Vascular Injury During Endoscopic Endonasal Skull Base Surgery OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA Gardner, P. A., Snyderman, C. H., Fernandez-Miranda, J. C., Jankowitz, B. T. 2016; 49 (3): 819-+


A 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.

View details for PubMedID 27267028