title: Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature.
abstract: Internal carotid artery (ICA) injury following transsphenoidal surgery is a rare but potentially fatal complication. Usually, endovascular occlusion of the ICA or stent graft placement is the treatment of these vascular complications described in literature. We present a case of ICA perforation during transsphenoidal surgery in a patient with limited collateral cerebral blood flow and with ectasia of the ICA that rule out an endovascular treatment. We report the surgical revascularization via high-flow extra-intracranial radial artery bypass and consicutive artery ligation.
authors.affiliation: Department of Neurosurgery, Thammasat University, Pathum Thani, Thailand.
authors.forename: Dilok
authors.initials: D
authors.lastname: Tantongtip
authors.affiliation: Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
authors.forename: Alessia
authors.initials: A
authors.lastname: Fratianni
authors.affiliation: Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
authors.forename: Jost
authors.initials: J
authors.lastname: Jenkner
authors.affiliation: Department of Radiology, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Arnold
authors.affiliation: Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Spetzger
keywords: extraintracranial bypass; internal carotid artery injury; pituitary surgery; transsphenoidal surgery