Direct Repair of Iatrogenic Internal Carotid Artery Injury During Endoscopic Endonasal Approach Surgery With Temporary Endovascular Balloon-Assisted Occlusion: Technical Case Report

被引：9

作者：

Cobb, Mary In-Ping Huang ^{[1
]}

Nimjee, Shahid ^{[2
]}

Gonzalez, L. Fernando ^{[1
]}

Jang, David Woojin ^{[3
]}

Zomorodi, Ali ^{[1
]}

机构：

[1] Duke Univ Hosp, Dept Neurosurg, Durham, NC 27705 USA

[2] Ohio State Univ Hosp, Dept Neurosurg, Columbus, OH 43210 USA

[3] Duke Univ Hosp, Dept Surg, Div Otolaryngol Head & Neck Surg, Durham, NC USA

来源：

OPERATIVE NEUROSURGERY | 2015年 / 11卷 / 03期

关键词：

Balloon assisted microsurgical repair; Endoscopic endonasal approach complications; Iatrogenic internal carotid artery injury; Internal carotid artery repair; Intraoperative angiogram; Osteoblastoma; Strategies for repair of internal carotid artery injuries; TRANSSPHENOIDAL SURGERY; SUCTION DECOMPRESSION; ANEURYSM SURGERY;

D O I：

10.1227/NEU.0000000000000863

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND AND IMPORTANCE: Iatrogenic internal carotid artery (ICA) injuries during endoscopic endonasal approach (EEA) surgeries are associated with a high morbidity and mortality, with few acceptable methods described for repair. CLINICAL PRESENTATION: A 13-year-old girl with a large anterior and central skull base osteoblastoma incurred an iatrogenic cavernous ICA injury during a staged EEA approach. Intraoperative angiogram was performed with balloon-assisted EEA primary microsurgical repair of the lacerated ICA. CONCLUSION: By integrating current techniques commonly used in open aneurysm surgeries and in endovascular procedures, we developed a rapid, safe technique to repair an EEA-associated iatrogenic ICA injury.

引用

页码：E483 / E486

页数：4

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