J Neurol Surg Rep 2015; 76(01): e100-e104
DOI: 10.1055/s-0035-1551670
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgical Treatment of Inadvertent Internal Carotid Artery Lesion by Extraintracranial High-flow Bypass. A Case Report and Review of the Literature

Dilok Tantongtip
1   Department of Neurosurgery, Thammasat University, Pathum Thani, Thailand
,
Alessia Fratianni
2   Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany
,
Jost Jenkner
2   Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany
,
Sebastian Arnold
3   Department of Radiology, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany
,
Uwe Spetzger
2   Department of Neurosurgery, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany
› Author Affiliations
Further Information

Publication History

30 May 2014

07 January 2015

Publication Date:
15 May 2015 (online)

Abstract

Internal carotid artery (ICA) injury following transsphenoidal surgery is a rare but potentially fatal complication. Usually, endovascular occlusion of the ICA or stent graft placement is the treatment of these vascular complications described in literature. We present a case of ICA perforation during transsphenoidal surgery in a patient with limited collateral cerebral blood flow and with ectasia of the ICA that rule out an endovascular treatment. We report the surgical revascularization via high-flow extra-intracranial radial artery bypass and consicutive artery ligation.

 
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