PMID: 9701124Aug 13, 1998Paper

Repair of carotid artery perforations during transsphenoidal surgery

Surgical Neurology
T Fukushima, J C Maroon


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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Related Concepts

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

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