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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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:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1551670
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spelling 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
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AT alessiafratianni surgicaltreatmentofinadvertentinternalcarotidarterylesionbyextraintracranialhighflowbypassacasereportandreviewoftheliterature
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