Neurology Specific Literature Search   
 
[home][thesaurus]
    
Click Here to return To Results

 

Arterial Injuries in Transsphenoidal Surgery for Pituitary Adenoma:The Role of Angiography and Endovascular Treatment
ANJR 18:655-665, Raymond,J.,et al, 1997
See this aricle in Pubmed

Article Abstract
Of the 21 patients who had complications, 17 had internal carotid injuries and four had injuries of the sphenopalatine artery. Angiography was performed in 18 patients. Bleeding occurred and was controlled during surgery in 16 cases. De layed epistaxis occurred in 10 patients, including five whose surgery was uneventful. After internal carotid injury, the most frequent angiographic findings were carotid occlusion (eight patients), stenosis (five patients), and false aneurysms (three pat ients). Internal carotid balloon occlusion was performed in five patients. No rebleeding occurred in patients who had complete carotid occlusion either from surgical packing or balloon embolization. Two of the patients who had carotid stenosis after su rgical packing had delayed epistaxis necessitating balloon occlusion. Injuries to the sphenopalatine artery were successfully treated by surgery (one patient) or by endovascular treatment (three patients) without complication. Three deaths and five perm anent deficits were directly related to the arterial injury or its treatment. Profuse bleeding during or after transsphenoidal surgery should be investigated by angiography. Lesions of the sphenopalatine arteries are effectively treated by embolization. Internal carotid injuries are best treated by carotid occlusion to prevent life-threatening epistaxis.
 
Related Tags
(click to filter results - removes previous filter)

aneurysm,carotid artery,false
angiography,cerebral
carotid artery injury
carotid artery laceration
carotid artery occlusion,intracranial
carotid artery occlusion,posttraumatic
carotid artery stenosis
carotid siphon
carotid-siphon occlusion
cerebrovascular accident
cerebrovascular accident,delayed onset
cerebrovascular accident,postoperative
cranial nerve palsies
cranial neuropathy,multiple
endovascular therapy
epistaxis
iatrogenic neurologic disorders
internal carotid artery
intraarterial balloon embolization
intracranial hemorrhage
microsurgery,transsphenoidal
mortality
neoplasm,pituitary
neoplasm,pituitary,treatment of
neurologic complications of,surgery
ophthalmoplegia
pituitary,adenoma
postoperative neurologic complications
prognosis
treatment of neurologic disorder

Click Here to return To Results