인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Background Endoscopic endonasal surgery can result in iatrogenic damage to the internal carotid artery (ICA), which is uncommon but can have dangerous side effects. This may manifest intraoperatively as high-volume arterial bleeding or may present after surgery as delayed hemorrhage or the development of a pseudoaneurysm. Our hospital is a national referral center for endoscopic endonasal surgeries. In this case series, we present our experience with 25 patients referred for endovascular management of iatrogenic carotid injury during transsphenoidal endoscopic sinus surgery. Results A retrospective analysis of the angiographic characteristics, technical data, and clinical outcomes of 25 consecutive patients who experienced iatrogenic injuries to the ICA during transsphenoidal sinus surgery. Patients were treated using endovascular techniques between January 2015 and December 2023. Twelve patients were managed intraoperatively; 8 underwent the endovascular procedure one day following surgery; and five were managed several days after surgery. A total of 21 patients underwent an endovascular therapeutic procedure to control bleeding. In contrast, diagnostic angiography was performed in 4 patients. The angiographic findings revealed contrast extravasation in 10 patients (40%), pseudoaneurysms in 10 patients (40%), carotid occlusion in 3 patients (12%), and vessel wall irregularities in 2 patients (8%). Balloon test occlusion (BTO) was done in 22 patients, with 19 showing good collaterals and treated by vessel sacrifice. A flow diverter stent was used in one patient. One patient was treated using a covered stent. Diagnostic angiography was performed in the remaining four patients, and no endovascular treatment was undertaken. One patient died, while the remaining 20 patients achieved favorable outcomes. Conclusion The most effective treatment for severe, uncontrollable bleeding is carotid occlusion. Nonetheless, for some patients, vascular preservation methods should be carefully evaluated. When performing endoscopic endonasal surgery, medical facilities should have easy access to endovascular therapy options.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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