Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature

Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature

Abstract Internal carotid artery (ICA) injury following transsphenoidal surgery is a rare but potentially fatal complication. Usually, endovascular occlusion of the ICA or stent graft placement is the treatment of these vascular complications described in literature. We present a case of ICA perfora...

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Bibliographic Details
Main Authors: Dilok Tantongtip, Alessia Fratianni, Jost Jenkner, Sebastian Arnold, Uwe Spetzger
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2015-05-01
Series:Journal of Neurological Surgery Reports
Subjects:
internal carotid artery injury
extraintracranial bypass
transsphenoidal surgery
pituitary surgery
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551670
Description
Summary:Abstract Internal carotid artery (ICA) injury following transsphenoidal surgery is a rare but potentially fatal complication. Usually, endovascular occlusion of the ICA or stent graft placement is the treatment of these vascular complications described in literature. We present a case of ICA perforation during transsphenoidal surgery in a patient with limited collateral cerebral blood flow and with ectasia of the ICA that rule out an endovascular treatment. We report the surgical revascularization via high-flow extra-intracranial radial artery bypass and consicutive artery ligation.
ISSN:2193-6358
2193-6366

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