post-tonsillectomy massive hemorrhage of the … · bahaa arefai , cristina pantoja, jennifer...

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POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE INTERNAL CAROTID ARTERY: ENDOVASCULAR TREATMENT Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain. LINC 2016

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Page 1: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE INTERNAL

CAROTID ARTERY: ENDOVASCULAR TREATMENT

Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez.

Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain.

LINC 2016

Page 2: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

Disclosure

Speaker name: BAHAA AREFAI

.................................................................................

I do not have any potential conflict of interest

Page 3: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

PATIENT • 60 Year old female • Obesity, OSAS, depression and GER • Tonsillectomy in another center • Hemorrhage • Up to 4.5 hours calmping time.

Page 4: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

Angiography

Page 5: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

Results

Page 6: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

Results

Page 7: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

Conclusion

Iatrogenic lesion of internal carotid artery during tonsillectomy, is a rare and exceptional complication with a very challenging treatment. Endovascular approach has given us an excellent result, being less invasive than open surgery controlling the bleeding and restoring carotid flow.

Page 8: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

THANK YOU

Tarragona City

Page 9: POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE … · Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez. Hospital Universitari de Tarragona

POST-TONSILLECTOMY MASSIVE HEMORRHAGE OF THE INTERNAL

CAROTID ARTERY: ENDOVASCULAR TREATMENT

Bahaa Arefai , Cristina Pantoja, Jennifer Berjon, Juan Carlos Flores, Vicente Martin, Benet Gómez.

Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain.

LINC 2016