Evidence map›Paper›PMID 37548719›Full record

ArticleActa neurochirurgica. Supplement2023

Major Internal Carotid Artery Injury During Endoscopic Skull Base Surgery: Case Report.

Miguel A Arraez, Cinta Arraez-Manrique, Bienvenido Ros, Guillermo Ibañez

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In one paragraph

Article in Acta neurochirurgica. Supplement, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Miguel A ArraezDepartment of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain. marraezs@uma.es.
Cinta Arraez-ManriqueDepartment of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain.
Bienvenido RosDepartment of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain.
Guillermo IbañezDepartment of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major vascular structures are always at risk during complex skull base surgery, particularly with use of the endoscopic endonasal approach, and intraoperative damage of the internal carotid artery (ICA) can be a devastating complication. Herein, we report a case of a young patient who had a major injury of the left ICA during endoscopic resection of a recurrent petrous bone chordoma. Massive bleeding was controlled by a Foley balloon inserted and kept in the resection area. Urgent angiography revealed a persistent leak from the petrous segment of the left ICA, and the vessel was sacrificed with coiling, since a balloon occlusion test showed good collateral blood flow. The patient woke up from anesthesia without a neurological deficit. Salvage resection of recurrent skull base neoplasms deserves specific attention because of the possibility of major vascular damage. In cases of intraoperative ICA injury, its management requires immediate decisions, and the available possibilities for endovascular therapy should always be considered.

Indexed as

Carotid Artery InjuriesCarotid Artery, InternalEndoscopyHumansNeoplasm Recurrence, LocalNeurosurgical ProceduresSkull BaseCarotid artery injuryComplicationEndoscopic surgeryManagementPreventive measuresSkull base surgery

Identifiers

PMID37548719

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.