Emergency placement of a self-expandable covered stent for carotid artery injury during trans-sphenoidal surgery.
A patient sustained internal carotid artery (ICA) injury during trans-sphenoidal surgery. Bleeding from the resultant pseudo-aneurysm was not fully controlled by surgical packing. Emergency endovascular deployment over the injured ICA segment of a self-expandable covered-stent ('Symbiot' stent), initially designed for use in coronary saphenous vein-graft, was successful in securing haemostasis.
Leung
Gilberto Ka Kit
GK
Division of Neurosurgery, Department of Surgery, Queen Mary Hospital, Hong Kong, SAR, China. gilbertleung2002@yahoo.com
Auyeung
Kai Ming
KM
Lui
Wai Man
WM
Fan
Yiu Wah
YW
D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D020212:Carotid Artery Injuries / Q000209:etiology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome