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J Korean Radiol Soc. 2008 Sep;59(3):149-153. English. Case Report.
Choe EH , Ko JH , Lee TH , Rho MH .
Department of Radiology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea.
Department of Radiology, Busan Medical Center, Korea.
Department of Radiology, Busan National University Hospital, Korea.
Department of Radiology, Myongji Hospital, Kwandong University College of Medicine, Korea.

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.

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