Folia Medica 63(5): 809-814, doi: 10.3897/folmed.63.e56461
Use of Foley catheter in control of internal carotid hemorrhage during endoscopic endonasal surgery
expand article infoMatteo Alicandri-Ciufelli, Francesco Maccarrone, Cecilia Botti§, Giacomo Pavesi, Livio Presutti
‡ University Hospital of Modena, Modena, Italy§ University of Modena and Reggio Emilia, Modena, Italy
Open Access
Internal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are rare life-threatening events. We describe a technique to manage ICA injuries based on the use of Foley catheters.
A 26-year-old female underwent endoscopic transnasal trans-sphenoidal removal of pituitary adenoma. Cerebrospinal fluid leak occurred 4 days postoperatively. During repair procedure, accidental injury of ICA occurred. Emergency nasal packing through positioning of four Foley urologic catheters was successfully performed to stop bleeding. The patient did not report neurologic deficits.
In author’s opinion, Foley catheters are suitable to obtain immediate bleeding control since they are rapidly available and easily usable.
balloon nasal packing, endoscopic endonasal surgery, internal carotid injury, internal carotid hemorrhage, pituitary surgery