Willis covered stent in patients having carotid artery rupture during transnasal endoscopic pituitary tumor resection: an application and follow-up study
10.3760/cma.j.cn115354-20211009-00649
- VernacularTitle:Willis覆膜支架在经鼻内镜垂体瘤切除术中颈动脉破裂患者中的应用及随访
- Author:
Yongfeng WANG
1
;
Jinchao XIA
;
Kun ZHANG
;
Jianjun GU
;
Ziliang WANG
;
Jiangyu XUE
;
Zhaoshuo LI
;
Xixi QIU
;
Fangtao ZHU
;
Huili GAO
;
Tianxiao LI
Author Information
1. 河南省人民医院脑血管病区-颈动脉疾病亚专科，河南省脑血管病国际联合实验室，郑州 450003
- Keywords:
Neuroendoscope;
Pituitary adenoma;
Carotid artery rupture;
Covered stent
- From:
Chinese Journal of Neuromedicine
2022;21(4):359-364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and effectiveness of Willis covered stent in patients having carotid artery rupture during transnasal endoscopic pituitary tumor resection.Methods:A retrospective analysis was performed. Six patients having carotid artery rupture during transnasal endoscopic pituitary tumor resection admitted to the 3 hospitals from May 2016 to December 2019 were chosen; their clinical data were collected. The surgical processes and complications were concluded, and the prognoses were evaluated by modified Rankin scale (mRS).Results:One patient was treated with intraoperative simple tamponade compression for hemostasis, and died for massive intracranial hemorrhage 2 weeks after surgery. Five patients were occluded by Willis covered stents; the occluded success rate was 100% but ophthalmic arteries were blocked in all. During the perioperative period, diabetes insipidus occurred in one patient and incomplete oculomotor paralysis occurred in one patient; 5 patients were followed up for 3-12 months: MRI indicated subtotal resection of tumor in 4 patients and total resection in one patient, no new bleeding or ischemic stroke events occurred in these 5 patients, and the prognosis was good.Conclusion:Willis covered stent is safe and effective in patients having carotid artery rupture during transnasal endoscopic pituitary tumor resection.
