Emergency Endovascular Treatment of Internal Carotid Artery Injury During a Transsphenoidal Approach for a Pituitary Tumor: Case Report.
10.3349/ymj.2002.43.1.119
- Author:
Sun Ho KIM
1
;
Yong Sam SHIN
;
Pyeong Ho YOON
;
Dong Ik KIM
Author Information
1. Department of Neurosurgery, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea. sunkim@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Internal carotid artery injury;
pituitary tumor;
endovascular procedure;
Guglielmi detachable coils
- MeSH:
Adult;
Carotid Artery Injuries/*therapy;
*Carotid Artery, Internal;
Case Report;
Emergencies;
Human;
Intraoperative Complications/*therapy;
Male;
Pituitary Neoplasms/*surgery;
Sphenoid Bone
- From:Yonsei Medical Journal
2002;43(1):119-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
Carotid artery injury is a very rare, but life threatening complication that can occur during a transsphenoidal approach. We experienced one case of carotid artery injury during a transsphenoidal pituitary tumor surgery. The patient was immediately treated by a balloon occlusion and complete packing of the cavernous carotid artery using Guglielmi detachable coils (GDCs) and the rest of the tumor was removed after the carotid occlusion. The patient recovered without showing any neurological deficits.