Direct Repair of Iatrogenic Internal Carotid Artery Injury During Endoscopic Endonasal Approach Surgery With Temporary Endovascular Balloon-Assisted Occlusion: Technical Case Report. Issue 3 (September 2015)

• Record Type: Journal Article
• Authors: Cobb, Mary In-Ping Huang; Nimjee, Shahid; Gonzalez, L. Fernando; Jang, David Woojin; Zomorodi, Ali
• Is Part Of: Operative neurosurgery. Volume 11:Issue 3(2015)
• Publication Date: 2015-09
• Subjects: Balloon assisted microsurgical repair -- Endoscopic endonasal approach complications -- Iatrogenic internal carotid artery injury -- Internal carotid artery repair -- Intraoperative angiogram -- Osteoblastoma -- Strategies for repair of internal carotid artery injuries; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1227/NEU.0000000000000863
• Languages: English
• ISSNs: 2332-4252

Abstract

Abstract : BACKGROUND AND IMPORTANCE: Iatrogenic internal carotid artery (ICA) injuries during endoscopic endonasal approach (EEA) surgeries are associated with a high morbidity and mortality, with few acceptable methods described for repair. CLINICAL PRESENTATION: A 13-year-old girl with a large anterior and central skull base osteoblastoma incurred an iatrogenic cavernous ICA injury during a staged EEA approach. Intraoperative angiogram was performed with balloon-assisted EEA primary microsurgical repair of the lacerated ICA. CONCLUSION: By integrating current techniques commonly used in open aneurysm surgeries and in endovascular procedures, we developed a rapid, safe technique to repair an EEA-associated iatrogenic ICA injury. ABBREVIATIONS: EEA, endoscopic endonasal approach ICA, internal carotid artery