Emergency endovascular treatment of internal carotid artery injury during a transsphenoidal approach for a pituitary tumor --case report--.
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.
Kim
Sun Ho
SH
Department of Neurosurgery, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea. sunkim@yumc.yonsei.ac.kr
Shin
Yong Sam
YS
Yoon
Pyeong Ho
PH
Kim
Dong Ik
DI
D000328:Adult; D020212:Carotid Artery Injuries / Q000628:therapy*; D002343:Carotid Artery, Internal; D004630:Emergencies; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D008297:Male; D010911:Pituitary Neoplasms / Q000601:surgery*; D013100:Sphenoid Bone