Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature

Egyptian Journal of Neurosurgery

article

Al-Shami, Hieder¹  Alnemare, Ahmad K.² 

[1] Al-Ahly Bank Hospital, Al-Amal Hospital;Otolaryngology Department, College of Medicine, Majmaah University

关键词: ICA;    Pituitary surgery;    Intraoperative injury;    Skull base surgery;   

DOI  :  10.1186/s41984-021-00100-6

学科分类：社会科学、人文和艺术（综合）

来源: Springer

【 摘 要 】

Internal carotid artery (ICA) injury is a hazardous catastrophe for the skull base surgery team. We aimed to illustrate the vital joints in this hazardous event during endoscopic surgery. The condition is rare (1.1%) but fatal per se. Working in the field of endoscopic surgery is not free of charges. It demands a thorough knowledge of anatomy, variations, and pathoanatomy to expect what can be seen thereafter. Once the injury occurs, one must have a quite clear plan to proceed. Marvelous bleeding is confusing not only in the field but also in the mind process. Endoscope teams when expose to this event should think in a stepwise manner. In our review, we explained the pathoanatomy of the field after an injury, pre-conditions of injury, and how to avoid certain drawbacks during management.

【 授权许可】

CC BY