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AJNR Am J Neuroradiol · Mar 2002
Case ReportsTreatment of iatrogenic internal carotid artery laceration and carotid cavernous fistula with endovascular stent-graft placement.
- Naci Kocer, Osman Kizilkilic, Sait Albayram, Ibrahim Adaletli, Fatih Kantarci, and Civan Islak.
- Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, Istanbul, Turkey.
- AJNR Am J Neuroradiol. 2002 Mar 1; 23 (3): 442-6.
AbstractThe risk of fatal injury of the internal carotid artery (ICA) and surrounding anatomy during transsphenoidal surgery for pituitary adenoma is the most severe potential complication associated with this particular approach. We present a case in which iatrogenic injury to a patient's ICA and resultant carotid cavernous fistula and massive hemorrhage was successfully managed with the emergency placement of an endovascular stent-graft. Both findings in the relevant literature and practical considerations concerning both stent-grafts and other more commonly used options for the treatment of iatrogenic ICA injury are discussed.
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