TY - JOUR
T1 - Direct repair of iatrogenic internal carotid artery injury during endoscopic endonasal approach surgery with temporary endovascular balloon-Assisted occlusion
T2 - Technical case report
AU - In-Ping Huang Cobb, Mary
AU - Nimjee, Shahid
AU - Gonzalez, L. Fernando
AU - Jang, David Woojin
AU - Zomorodi, Ali
N1 - Publisher Copyright:
© Copyright 2015 by the Congress of Neurological Surgeons.
PY - 2015/9
Y1 - 2015/9
N2 - 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.
AB - 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.
KW - Balloon assisted microsurgical repair
KW - Endoscopic endonasal approach complications
KW - Iatrogenic internal carotid artery injury
KW - Internal carotid artery repair
KW - Intraoperative angiogram
KW - Osteoblastoma
KW - Strategies for repair of internal carotid artery injuries
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U2 - 10.1227/NEU.0000000000000863
DO - 10.1227/NEU.0000000000000863
M3 - Article
C2 - 26284353
AN - SCOPUS:84988521811
SN - 0069-4827
VL - 11
SP - E483-E486
JO - Clinical neurosurgery
JF - Clinical neurosurgery
ER -