Abstract
BACKGROUND Hemorrhage from carotid artery injury during transsphenoidal surgery is an unusual, but potentially fatal complication. METHODS Among six patients experiencing laceration or perforation of the carotid artery, we treated four with a new technique using Teflon® mesh and methyl methacrylate to form an external, artificial wall over the laceration and the carotid artery. RESULTS In all four cases, hemorrhage was successfully controlled without neurologic deficit to the patient or complications frequently associated with the standard technique of nasal and sphenoid sinus packing removal. CONCLUSIONS Our new technique may be superior to packing alone, as well as potentially life-saving to the patient.
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