Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
| Autor: | Ann Liu, Jordina Rincon-Torroella, Matthew T. Bender, Cameron G. McDougall, Anthony P. Tufaro, Nyall R. London Jr, Alexander L. Coon, Douglas D. Reh, Gary L. Gallia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Neurological Surgery Reports, Vol 82, Iss 04, Pp e43-e48 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2193-6358 2193-6366 |
| DOI: | 10.1055/s-0041-1735284 |
| Popis: | The incidence of internal carotid artery (ICA) injury associated with endoscopic endonasal approaches to the pituitary is less than 1%. While parent vessel sacrifice has historically been the choice of treatment, vessel-preserving endovascular techniques have been reported. Although flow diversion offers endoluminal reconstruction, its major limitation is the delay in obtaining complete occlusion. We describe the use of a combined Pipeline embolization device (PED) with endoscopic endonasal repair using a fascia lata/muscle graft to treat an iatrogenic ICA pseudoaneurysm and report long-term radiographic follow-up. Further investigation into the utility of directed endoscopic endonasal repair of iatrogenic pseudoaneurysms initially treated with PED is necessary, especially given the need of post-PED anticoagulation and the rate of permanent neurological deficit after ICA sacrifice. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|