PMID: 9701124Aug 13, 1998Paper

Repair of carotid artery perforations during transsphenoidal surgery

Surgical Neurology
T Fukushima, J C Maroon

Abstract

Hemorrhage from carotid artery injury during transsphenoidal surgery is an unusual, but potentially fatal complication. Among six patients experiencing laceration or perforation of the carotid artery, we treated four with a new technique using Teflon mesh and methyl methacrylate to form an external, artificial wall over the laceration and the carotid artery. In all four cases, hemorrhage was successfully controlled without neurologic deficit to the patient or complications frequently associated with the standard technique of nasal and sphenoid sinus packing removal. Our new technique may be superior to packing alone, as well as potentially life-saving to the patient.

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Citations

Aug 11, 2005·Neurosurgical Review·Joji Inamasu, Bernard H Guiot
Jun 17, 2006·Journal of Neurosurgery·Peter KanWilliam T Couldwell
Jul 8, 2009·Pakistan Journal of Biological Sciences : PJBS·M DavoodiF Rahim
Jan 1, 2008·The Libyan Journal of Medicine·Gh Hewaidi, Gm Omami
Dec 24, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Se Hwan HwangJun Myung Kang
Nov 4, 2015·The Laryngoscope·Oliver Y ChinJean Anderson Eloy
Oct 8, 2011·Otolaryngologic Clinics of North America·Rowan Valentine, Peter-John Wormald
Nov 21, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Frederik H W JonkerBart E Muhs
Mar 29, 2014·International Forum of Allergy & Rhinology·Vikram PadhyePeter-John Wormald
Nov 29, 2015·Otolaryngologic Clinics of North America·Peleg M HorowitzShaan M Raza
Feb 24, 2015·The Journal of Laryngology and Otology·N KomuneA L Rhoton
Sep 26, 2003·Journal of Neurosurgical Anesthesiology·Shrinivas Vitthal GadhinglajkarR N Bhattacharya
Sep 30, 2005·Anesthesia and Analgesia·Edward C NemergutEdward R Laws
Jun 22, 2018·Neurosurgical Review·Neşe AsalOsman Kürşat Arıkan
May 26, 2012·The Journal of Craniofacial Surgery·Yan FengYou Qiong Li
Nov 3, 2020·Journal of Neurological Surgery. Part B, Skull Base·Jenna MeyerFredric B Meyer
Dec 11, 2020·World Neurosurgery·Yasodara Priyadharsini Senthamarai SiddharthanParthasarathy D Thirumala
Nov 17, 2020·Surgical Neurology International·Mohammed BafaquhAbdulrahman Y Alturki

Related Concepts

Adenoma, Trabecular
Carotid Arteries
Cerebral Angiography
Cerebral Hemorrhage
Injuries, Surgical
Pituitary Carcinoma
Sphenoid Bone Structure
Carotid Pseudoaneurysm

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