Treatment of Ruptured ICA during Transsphenoidal Surgery Two Different Endovascular Strategies in Two Cases

被引：13

作者：

Ghatge, S. B. ^{[1
,2
]}

Modi, D. B. ^{[1
]}

机构：

[1] Bombay Hosp & Med Res Ctr, Dept Intervent Neuroradiol, Bombay, Maharashtra, India

[2] JJ Hosp, Dept Neuroradiol, Bombay, Maharashtra, India

来源：

INTERVENTIONAL NEURORADIOLOGY | 2010年 / 16卷 / 01期

关键词：

ruptured ICA; transsphenoidal surgery; endovascular treatment; vascular plug; stent-graft; CAROTID-ARTERY PSEUDOANEURYSM; CAVERNOUS FISTULA; COVERED STENTS; BLOWOUT SYNDROME; COMPLICATIONS; ANEURYSM; REPAIR;

D O I：

10.1177/159101991001600104

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Rupture of the internal carotid artery (ICA) during transsphenoidal surgery is a rare but potentially lethal complication. Direct surgical repair of the ICA may be difficult and time-consuming in an acute setting. Urgent endovascular treatments with vascular plug or stent-graft have been the feasible options to date. We desrcibe two cases of iatrogenic rupture of ICA during transsphenoidal surgery. In the first case we occluded the ICA with a vascular plug at the site of tear where cross circulation was adequate. In the second case we had to preserve the ICA with stent-graft since there was no adequate cross circulation. These two strategies are discussed below.

引用

页码：31 / 37

页数：7

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