{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:32:21Z","timestamp":1792665141761,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,12,29]],"date-time":"2014-12-29T00:00:00Z","timestamp":1419811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Inadvertent injury to the internal carotid artery (ICA), if poorly managed, not only presents a risk of exsanguination but can also result in significant long\u2010term morbidity. Through the implementation of a novel animal model of endoscopic carotid artery injury (CAI), effective techniques to manage this scenario have been developed. The Vascular Injuries Workshop has trained over 110 surgeons in these techniques. This study reviews events of major arterial hemorrhage managed by surgeons who completed this vascular injury workshop training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report a retrospective multicenter case series of patients who required endoscopic management of intranasal major arterial hemorrhage. Delegates who had attended the course were contacted by e\u2010mail and surveyed with regard to instances of major arterial bleeding and the management undertaken. Patient demographics, tumor type, factors influencing injury, management technique, and outcomes were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cases reported herein are characterized as follows: 9 cases are reported in total, 3 male, 6 female; age range 37 to 82 years; 1 basilar artery, and 8 ICA injuries. Each case was successfully managed endoscopically with intraoperative muscle patch application. There were no deaths, 1 case of pseudoaneurysm with successful endovascular treatment, 2 cases of impaired carotid flow, and 1 carotid dissection was conservatively managed. There were no permanent neurological sequelae or other permanent morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Vascular Injuries Workshop arms surgeons with a structured approach to managing the surgical field and provides effective hemostatic techniques in the face of impending catastrophe. In comparison to the existing literature on ICA rupture, our results show trained surgeons are well equipped to achieve safe outcomes for their patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21471","type":"journal-article","created":{"date-parts":[[2014,12,29]],"date-time":"2014-12-29T17:00:42Z","timestamp":1419872442000},"page":"247-252","source":"Crossref","is-referenced-by-count":32,"title":["Coping with catastrophe: the value of endoscopic vascular injury training"],"prefix":"10.1002","volume":"5","author":[{"given":"Vikram","family":"Padhye","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, The Queen Elizabeth Hospital and University of Adelaide  South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowan","family":"Valentine","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, The Queen Elizabeth Hospital and University of Adelaide  South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Sacks","sequence":"additional","affiliation":[{"name":"Australian School of Advanced Medicine, Macquarie University and Concord General Hospital, University of Sydney  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eng H.","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Flinders Medical Centre, Flinders University  South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlie","family":"Teo","sequence":"additional","affiliation":[{"name":"Centre for Minimally Invasive Surgery, Prince of Wales Hospital and University of New South Wales  NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Tewfik","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, McGill University Health Centre, Montreal  QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of ENT, Rhinology Division, Eye and ENT Hospital, Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter\u2010John","family":"Wormald","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, The Queen Elizabeth Hospital and University of Adelaide  South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70371-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2010.04.008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000150681.68355.85"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000339121.20101.85"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2302\/kjm.58.152"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.06.009"},{"key":"e_1_2_6_8_1","first-page":"655","article-title":"Arterial injuries in transsphenoidal surgery for pituitary adenoma; 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