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Kim, Shin, Yoon, and Kim: Emergency Endovascular Treatment of Internal Carotid Artery Injury During a Transsphenoidal Approach for a Pituitary Tumor: Case Report
Original Article
Yonsei Medical Journal

Yonsei Medical Journal 2002; 43(1): 119-122.

Published online: 1 April 2009

DOI: https://doi.org/10.3349/ymj.2002.43.1.119

Emergency Endovascular Treatment of Internal Carotid Artery Injury During a Transsphenoidal Approach for a Pituitary Tumor: Case Report

Sun Ho Kim1, Yong Sam Shin1, Pyeong Ho Yoon2, Dong Ik Kim2

1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.

2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.

Reprint address: requests to Dr. Sun Ho Kim, Department of Neurosurgery, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea. Tel: 82-2-361-5629, Fax: 82-2-393-9979, sunkim@yumc.yonsei.ac.kr

Received 22 May 2001       Accepted 4 October 2001

Copyright © 2002 The Yonsei University College of Medicine

Abstract

Carotid artery injury is a very rare, but life threatening complication that can occur during a transsphenoidal approach. We experienced one case of carotid artery injury during a transsphenoidal pituitary tumor surgery. The patient was immediately treated by a balloon occlusion and complete packing of the cavernous carotid artery using Guglielmi detachable coils (GDCs) and the rest of the tumor was removed after the carotid occlusion. The patient recovered without showing any neurological deficits.

Keywords: Internal carotid artery injury, pituitary tumor, endovascular procedure, Guglielmi detachable coils

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