J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803993
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Internal Carotid Artery Injury in Transsphenoidal Surgery—How to Avoid and Cope with Serious Complication, Japanese Single-Center Experience, And Experts' Opinion

Masahiro Hirayama
1   Department of Neurosurgery, Stanford Medicine, Stanford, California, United States
,
Hideki Shiramizu
2   Moriyama Memorial Hospital, Edogawa City, Tokyo, Japan
,
Shozo Yamada
2   Moriyama Memorial Hospital, Edogawa City, Tokyo, Japan
,
Seigo Matsuo
2   Moriyama Memorial Hospital, Edogawa City, Tokyo, Japan
,
Takashi Moriyama
2   Moriyama Memorial Hospital, Edogawa City, Tokyo, Japan
,
Juan Carlos F. Miranda
1   Department of Neurosurgery, Stanford Medicine, Stanford, California, United States
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At a Japanese one high-volume center, we experienced five cases (0.68%) of ICA injury out of 740 cases from 2018 to 2022.

At first, we show how to stop bleeding when ICA injury occurred. Then we analyze the cause of five ICA injury cases, what we should do and what we should not based of the experience of experts.



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Artikel online veröffentlicht:
07. Februar 2025

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