Vascular complications of transsphenoidal surgery.
Vascular complication of transsphenoidal surgery can lead to mortality and serious morbidity. In a series of 3,061 transsphenoidal operations for pituitary disease, 24 such complications were encountered, seven of which were fatal. The anatomic substrate for such complications is discussed, along with technical aspects of surgery and other methods for the avoidance of vascular complications.
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Department of Neurosurgery, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
D017541:Aneurysm, False / Q000097:blood / Q000401:mortality / Q000628:therapy; D016063:Blood Loss, Surgical / Q000401:mortality; D020212:Carotid Artery Injuries / Q000097:blood / Q000401:mortality / Q000628:therapy; D013507:Endocrine Surgical Procedures / Q000009:adverse effects* / Q000401:mortality; D006801:Humans; D007031:Hypothalamus / Q000293:injuries; D007431:Intraoperative Complications / Q000097:blood* / Q000401:mortality / Q000628:therapy; D010899:Pituitary Apoplexy / Q000097:blood / Q000401:mortality / Q000628:therapy; D010911:Pituitary Neoplasms / Q000098:blood supply / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000097:blood / Q000401:mortality / Q000628:therapy; D012189:Retrospective Studies; D012658:Sella Turcica / Q000098:blood supply / Q000601:surgery; D013100:Sphenoid Bone / Q000098:blood supply / Q000601:surgery*; D013927:Thrombosis / Q000097:blood / Q000401:mortality / Q000628:therapy; D014652:Vascular Diseases / Q000097:blood* / Q000401:mortality / Q000628:therapy