Direct Repair of Iatrogenic Internal Carotid Artery Injury During Endoscopic Endonasal Approach Surgery With Temporary Endovascular Balloon-Assisted Occlusion: Technical Case Report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26284353.
- Also identified by DOI 10.1227/NEU.0000000000000863.
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Abstract
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. 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. 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.
Medical subject headings
- Balloon Occlusion
- Carotid Artery Injuries
- Carotid Artery, Internal
- Endoscopy
- Endovascular Procedures
- Iatrogenic Disease
- Nasal Cavity