Treatment of ruptured ICA during transsphenoidal surgery. Two different endovascular strategies in two cases.

@article{Ghatge2010TreatmentOR,
  title={Treatment of ruptured ICA during transsphenoidal surgery. Two different endovascular strategies in two cases.},
  author={Sharad B Ghatge and Dhaval B Modi},
  journal={Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences},
  year={2010},
  volume={16 1},
  pages={31-7}
}
Rupture of the internal carotid artery (ICA) during transsphenoidal surgery is a rare but potentially lethal complication. Direct surgical repair of the ICA may be difficult and time-consuming in an acute setting. Urgent endovascular treatments with vascular plug or stent-graft have been the feasible options to date. We desrcibe two cases of iatrogenic rupture of ICA during transsphenoidal surgery. In the first case we occluded the ICA with a vascular plug at the site of tear where cross… CONTINUE READING