J Korean Radiol Soc.  2008 Sep;59(3):149-153. 10.3348/jkrs.2008.59.3.149.

Endovascular Treatment with a Stent-Graft for Internal Carotid Artery Laceration during Trans Sphenoidal Surgery: A Case Report

Affiliations
  • 1Department of Radiology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. rmh96@dreamwiz.com
  • 2Department of Radiology, Busan Medical Center, Korea.
  • 3Department of Radiology, Busan National University Hospital, Korea.
  • 4Department of Radiology, Myongji Hospital, Kwandong University College of Medicine, Korea.

Abstract

An internal carotid artery (ICA) tear during or after trans-sphenoidal surgery (TSS) is rare but may cause potentially lethal complications. A 23-year-old female patient visited our hospital for treatment of a Rathke's cleft cyst. The patient had massive hemorrhage during surgery and angiography performed after surgery showed laceration of the cavernous ICA. We successfully controlled the hemorrhage with emergency placement of an endovascular stent-graft.

Keyword

Stents; Carotid artery injuries

MeSH Terms

Angiography
Carotid Artery Injuries
Carotid Artery, Internal
Caves
Emergencies
Female
Hemorrhage
Humans
Lacerations
Stents
Young Adult
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