[Therapeutic management for iatrogenic injury of great arteries during transnasal surgery of tumors of the hypophysis].
Results of clinical examination and surgical treatment of 1022 patients with tumors of the hypophysis were analyzed. All the patients were operated upon by transsphenoidal endoscopic approach during the recent 10 years. Complications were observed in 76 (7.4%) patients. Most serious of them were: intraoperative mechanical injury of the right internal carotid artery and contact rupture of a large aneurysm of the internal carotid artery falsely diagnosed as craniopharyngioma. In both cases urgent intravascular interventions were necessary which resulted in relief of symptoms and recovery of the patients.
Polezhaev
A V
AV
Cherebillo
V Iu
VIu
Savello
A V
AV
Svistov
D V
DV
D000328:Adult; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002343:Carotid Artery, Internal; D002536:Cerebral Arteries / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000379:methods*; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D009666:Nose; D010911:Pituitary Neoplasms / Q000601:surgery*; D036542:Tomography, Spiral Computed