ArticleBrain sciences2022
Internal Carotid Injury during Skull Base Surgery-Case Report and a Review of the Literature.
Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Postoperative Pituitary MRI Findings in Acromegaly: A Pictorial Review.Diagnostics (Basel, Switzerland) · 2026Review
- Management of Major Arterial Injuries: A Critical Complication of Endoscopic Endonasal Surgery.Operative neurosurgery (Hagerstown, Md.) · 2025Article
- Determining the manner of death in victims in drug-induced psychosis: a case of an atypical head stab wound.Forensic science, medicine, and pathology · 2024Article
- Anaesthesia for pituitary surgery.BJA education · 2024Review
- Predictors of operative ischemic cerebrovascular complications in skull base tumor resections: Experience in low-resource setting.Neuro-oncology practice · 2024Article
- Extracranial-intracranial bypass using a cephalic vein graft for iatrogenic internal carotid artery injury during functional endoscopic sinus surgery: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Predictors of mortality at 3 months in patients with skull base tumor resections in a low-income setting.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Iatrogenic injury of the internal carotid artery (ICA) is a rare, and probably underreported, complication of transnasal endoscopic skull base surgery. Although treatment algorithms have been suggested, there is no definite consensus or guideline for the management of this severe complication. We describe a case of ICA injury that occurred during a transsphenoidal biopsy of a tumor in the cavernous sinus and we present a treatment algorithm for managing this complication. We reviewed the articles published from 1998 to 2021, reporting on major vascular injury during transnasal endoscopic skull base surgery and endonasal endoscopic surgery, and we compare the methods and results of ICA injury management reported in the literature with the presented case. The most promising treatment for ICA injury might be packing with a muscle graft initially, then performing an endovascular intervention.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.