Internal Carotid Injury during Transsphenoidal Resection of Pituitary Macroadenoma Managed with Neurointervention Technique

Mohammad Sarwar; Laxminarayan Tripathy; Sukalyan Purkayastha; Gobinda Pramanick

doi:10.1055/s-0041-1735351

Indian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(01): 083-085
DOI: 10.1055/s-0041-1735351

Short Communication

Internal Carotid Injury during Transsphenoidal Resection of Pituitary Macroadenoma Managed with Neurointervention Technique

Mohammad Sarwar

¹Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

,

Laxminarayan Tripathy

¹Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India

,

Sukalyan Purkayastha

²Department of Neuroradiology, Institute of Neurosciences, Kolkata, West Bengal, India

,

Gobinda Pramanick

³Department of Neuroradiology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India

› Author Affiliations

Abstract

Iatrogenic internal carotid artery (ICA) injuries during transsphenoidal pituitary tumor surgery are extremely rare but are associated with potentially disabling or life-threatening complications. Management options of ICA injuries are sacrifice, embolization, and endoluminal reconstruction. We report a case of ICA injury during transsphenoidal pituitary macroadenoma surgery, which was managed with endovascular covered stent placement for left carotid-ophthalmic pseudoaneurysm.

Keywords

internal carotid artery injuries - transsphenoidal surgery - pituitary macroadenoma

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References

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