Endovascular management of internal carotid artery injuries secondary to endonasal surgery: case series and review of the literature

Journal of Neurosurgery
Peter T SylvesterMichael R Chicoine

Abstract

OBJECTIVE Internal carotid artery (ICA) injury is a rare but severe complication of endonasal surgery. The authors describe their endovascular experience managing ICA injuries after transsphenoidal surgery; they review and summarize the current literature regarding endovascular techniques; and they propose a treatment algorithm based on the available evidence. METHODS A retrospective review of 576 transsphenoidal pituitary adenoma resections was performed. Cases of ICA injury occurring at our institution and transfers from other hospitals were evaluated. Endovascular treatments for ICA injury reported in the literature were also reviewed and summarized. RESULTS Seven cases were identified from the institutional cohort (mean age 46.3 years, mean follow-up 43.4 months [1-107 months]) that received endovascular treatment for ICA injury. Five injuries occurred at our institution (5 [0.9%] of 576), and 2 injuries occurred at outside hospitals. Three patients underwent ICA sacrifice by coil placement, 2 underwent lesion embolization (coil or stent-assisted coil placement), and 2 underwent endoluminal reconstruction (both with flow diversion devices). Review of the literature identified 98 cases of ICA injury treated with endovascular...Continue Reading

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Citations

Jul 23, 2019·International Forum of Allergy & Rhinology·Eric W WangCarl H Snyderman
Sep 12, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Yasuhiko NariaiKensuke Suzuki
Aug 7, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Annie DrapeauDaniel M Prevedello
Jul 18, 2017·Neurosurgical Review·Gopinathan AnilFrancis Hui
Aug 1, 2020·Frontiers in Neurology·Yongtao ZhengFeng Xu
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Dec 30, 2020·Operative Neurosurgery·Eugenio Cárdenas Ruiz-ValdepeñasJuan Manel Villa Fernández
May 1, 2021·Journal of Surgical Case Reports·Piotr SumislawskiJörg Flitsch
May 7, 2021·British Journal of Neurosurgery·Philip Dao TrongChristopher Beynon
Jun 21, 2021·European Annals of Otorhinolaryngology, Head and Neck Diseases·M KimD A Gudis
Sep 29, 2021·Neurointervention·Pawan K GargPushpinder S Khera

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