Yonsei Med J.  2002 Feb;43(1):119-122. 10.3349/ymj.2002.43.1.119.

Emergency Endovascular Treatment of Internal Carotid Artery Injury During a Transsphenoidal Approach for a Pituitary Tumor: Case Report

Affiliations
  • 1Department of Neurosurgery, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea. sunkim@yumc.yonsei.ac.kr
  • 2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

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.

Keyword

Internal carotid artery injury; pituitary tumor; endovascular procedure; Guglielmi detachable coils

MeSH Terms

Adult
Carotid Artery Injuries/*therapy
*Carotid Artery, Internal
Case Report
Emergencies
Human
Intraoperative Complications/*therapy
Male
Pituitary Neoplasms/*surgery
Sphenoid Bone
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