PMID: 2117730Jul 1, 1990Paper

The perioperative management of the petrous carotid artery in contemporary surgery of the skull base

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
J P LeonettiR L Grubb

Abstract

Optimal techniques for the preoperative assessment and intraoperative management of the petrous carotid artery remain undefined. While purposeful "avoidance" of this structure may result in partial tumor removal, limited exposure of the petrous carotid artery may lead to inadvertent injury with life-threatening neurovascular sequelae. Twenty-five cases are reported in which surgical manipulation of the petrous carotid artery was necessary to accomplish total tumor removal or gain operative exposure to the skull base. A standard diagnostic radiographic assessment consisted of high-resolution computed tomography, magnetic resonance imaging, and a 4-vessel angiography. Preoperative balloon occlusion of the involved internal carotid artery was performed in four patients. Surgical approaches used in this series were broadly classified as: infratemporal-anterolateral (14), pterional-infratemporal (6), or pterional-anterolateral (5). Intraoperative management of the carotid artery consisted of total decompression in 19 cases, decompression with mobilization in four patients, and resection in two instances. Major neurovascular complications included one stroke and death caused by arterial occlusion, one stroke and death caused by arter...Continue Reading

References

Jul 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·S R Baker, J T Latack
Mar 1, 1987·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P A LevineR W Cantrell

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Citations

Mar 1, 1993·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P LeonettiJ M Hartman
Nov 18, 2004·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Mario SannaManoj Agarwal
Jul 1, 1992·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P LeonettiP G Smith
Dec 18, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P LeonettiG Petruzzelli
Nov 4, 2015·The Laryngoscope·Oliver Y ChinJean Anderson Eloy
Aug 11, 2005·Neurosurgical Review·Joji Inamasu, Bernard H Guiot
Jun 29, 2012·The Laryngoscope·John P LeonettiGeorge C Pontikis
Dec 11, 2020·World Neurosurgery·Yasodara Priyadharsini Senthamarai SiddharthanParthasarathy D Thirumala
May 18, 1992·The Medical Journal of Australia·P A FaganD O Berg
Jan 23, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D C BigelowM J Kotapka

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