pISSN 0513-5796   eISSN 1976-2437
Open Access, Peer-reviewed, Monthly
    Yonsei Med J. 2002 Feb;43(1):119-122. English.
    Published online Apr 01, 2009.
    https://doi.org/10.3349/ymj.2002.43.1.119
    Copyright © 2002 The Yonsei University College of Medicine
    Original Article

    Emergency Endovascular Treatment of Internal Carotid Artery Injury During a Transsphenoidal Approach for a Pituitary Tumor: Case Report

    Sun Ho Kim,1 Yong Sam Shin,1 Pyeong Ho Yoon,2 and Dong Ik Kim2
      • 1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
      • 2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.
    • Reprint address: requests to Dr. Sun Ho Kim, Department of Neurosurgery, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea. Tel: 82-2-361-5629, Fax: 82-2-393-9979, Email: sunkim@yumc.yonsei.ac.kr
    Received May 22, 2001; Accepted October 04, 2001.

    Abstract

    Carotid artery injury is a very rare, but life threatening complication that can occur during a transsphenoidal approach. We experienced one case of carotid artery injury during a transsphenoidal pituitary tumor surgery. The patient was immediately treated by a balloon occlusion and complete packing of the cavernous carotid artery using Guglielmi detachable coils (GDCs) and the rest of the tumor was removed after the carotid occlusion. The patient recovered without showing any neurological deficits.

    Keywords
    Internal carotid artery injury; pituitary tumor; endovascular procedure; Guglielmi detachable coils

    Cited by
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    MeSH Terms
    Carotid Artery, Internal*
    Adult
    Carotid Artery Injuries/therapy*
    Case Report
    Emergencies
    Human
    Intraoperative Complications/therapy*
    Male
    Pituitary Neoplasms/surgery*
    Sphenoid Bone
    Metrics
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