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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Georg Thieme Verlag KG
2015-05-01
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doaj-8df0871509a044ab8c6e6abc5e480dc92020-11-25T03:01:52ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662015-05-017601e100e10410.1055/s-0035-1551670Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the LiteratureDilok Tantongtip0Alessia Fratianni1Jost Jenkner2Sebastian Arnold3Uwe Spetzger4Department of Neurosurgery, Thammasat University, Pathum Thani, ThailandDepartment of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, GermanyDepartment of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, GermanyDepartment of Radiology, Städtisches Klinikum Karlsruhe, Karlsruhe, GermanyDepartment of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, GermanyAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551670internal carotid artery injuryextraintracranial bypasstranssphenoidal surgerypituitary surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dilok Tantongtip Alessia Fratianni Jost Jenkner Sebastian Arnold Uwe Spetzger |
spellingShingle |
Dilok Tantongtip Alessia Fratianni Jost Jenkner Sebastian Arnold Uwe Spetzger Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature Journal of Neurological Surgery Reports internal carotid artery injury extraintracranial bypass transsphenoidal surgery pituitary surgery |
author_facet |
Dilok Tantongtip Alessia Fratianni Jost Jenkner Sebastian Arnold Uwe Spetzger |
author_sort |
Dilok Tantongtip |
title |
Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature |
title_short |
Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature |
title_full |
Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature |
title_fullStr |
Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature |
title_full_unstemmed |
Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature |
title_sort |
surgical treatment of inadvertent internal carotid artery lesion by extraintracranial high-flow bypass. a case report and review of the literature |
publisher |
Georg Thieme Verlag KG |
series |
Journal of Neurological Surgery Reports |
issn |
2193-6358 2193-6366 |
publishDate |
2015-05-01 |
description |
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. |
topic |
internal carotid artery injury extraintracranial bypass transsphenoidal surgery pituitary surgery |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551670 |
work_keys_str_mv |
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