Migrated intraarterial coil to sphenoidal sinus and right nasal cavity following embolization of iatrogenic injury of the internal carotid artery during pituitary macroadenoma surgery

In modern medicine, many of the surgical interventions have been transformed by new and more modern, less invasive manipulations, greatly reducing the risks of previously used open surgical interventions. More and more neurosurgery operations associated with vascular malformations and abnormalities, postoperative or perioperative complications are resolved by using angiological procedures.

We present a clinical case of a 61-year-old man operated for macroadenoma of the pituitary, during the removal of which was injured the right internal carotid artery in the right perisphenoid area with large haemorrhage, which has been overcomed with the help of a vascular procedure – placement of an intraarterial intraaneurysmal coil.

Patient status control angiograms made after about a year later have shown migrations of coil parts in the right sphenoidal sinus and right nasal cavity, which is also associated with clinical complaints from the patient – presence of nasal secretion and occlusion of the right nasal passage.

Key words: FESS, sinus surgery, coil, nasal cavity, angiography, vascular procedures-embolization.

Publication History

Publication Date:
23 April 2019 (online)