Assessment of Factors Associated With Internal Carotid Injury in Expanded Endoscopic Endonasal Skull Base Surgery.

ABSTRACT:

Importance

Injury to the internal carotid artery (ICA) during endoscopic endonasal skull base surgery does not typically occur as an isolated circumstance but often is the result of multiple factors.

Objective

To assess the factors associated with ICA injury in an effort to reduce its occurrence.

Design, setting, and participants

This quality improvement study used a multicenter root cause analysis of ICA injuries sustained during endoscopic endonasal skull base surgery performed at 11 tertiary care centers across 4 continents (North America, South America, Europe, and Asia) from January 1, 1993, to December 31, 2018. A fishbone model was built to facilitate the root cause analysis. Patients who underwent an expanded endoscopic endonasal approach that carried a substa

SUBMITTER: AlQahtani A 

PROVIDER: S-EPMC7047871 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature