Carotico-cavernous fistula after trans-sphenoidal hypophysectomy.
A case is presented of a 48-year-old woman with an iatrogenic carotico-cavernous fistula consequent upon a transphenoidal hypophysectomy. Successful closure of the fistula was achieved by interventional radiology. The causes and management of vascular injuries during trans-sphenoidal pituitary surgery are reviewed and discussed.
Pigott
T J
TJ
Department of Neuroradiology & Neurosurgery, University Hospital, Nottingham, United Kingdom.
Holland
I M
IM
Punt
J A
JA
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D002339:Carotid Arteries / Q000000981:diagnostic imaging*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007016:Hypophysectomy / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D013100:Sphenoid Bone / Q000601:surgery