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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(01): 083-085
DOI: 10.1055/s-0041-1735351
Short Communication

Internal Carotid Injury during Transsphenoidal Resection of Pituitary Macroadenoma Managed with Neurointervention Technique

Mohammad Sarwar 
1   Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India
,
Laxminarayan Tripathy 
1   Medica Institute of Neurological Diseases, Medica Superspecialty Hospital, Kolkata, West Bengal, India
,
Sukalyan Purkayastha 
2   Department of Neuroradiology, Institute of Neurosciences, Kolkata, West Bengal, India
,
Gobinda Pramanick
3   Department of Neuroradiology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India
› Author Affiliations Funding None.
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Abstract

Iatrogenic internal carotid artery (ICA) injuries during transsphenoidal pituitary tumor surgery are extremely rare but are associated with potentially disabling or life-threatening complications. Management options of ICA injuries are sacrifice, embolization, and endoluminal reconstruction. We report a case of ICA injury during transsphenoidal pituitary macroadenoma surgery, which was managed with endovascular covered stent placement for left carotid-ophthalmic pseudoaneurysm.

Keywords

internal carotid artery injuries - transsphenoidal surgery - pituitary macroadenoma


Publication History

Article published online:
15 December 2021

© 2021. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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