scholarly journals Endoscopic endonasal approach for the treatment of a large clival giant cell tumor complicated by an intraoperative internal carotid artery rupture

2013 ◽  
pp. 21 ◽  
Author(s):  
Maurizio Iacoangeli ◽  
Di Rienzo ◽  
Massimo Re ◽  
Lorenzo Alvaro ◽  
Niccolò Nocchi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Internal Carotid ◽  
Cell Tumor ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Carotid Artery Rupture

Assessment of Internal Carotid Artery Invasion With the Endoscopic Endonasal Approach

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Huankang Zhang ◽  
Xicai Sun ◽  
Huapeng Yu ◽  
Weidong Zhao ◽  
Keqing Zhao ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal

Direct Repair of Iatrogenic Internal Carotid Artery Injury During Endoscopic Endonasal Approach Surgery With Temporary Endovascular Balloon-Assisted Occlusion: Technical Case Report

2015 ◽  
Vol 11 (3) ◽  
pp. E483-E487 ◽  
Author(s):  
Mary In-Ping Huang Cobb ◽  
Shahid Nimjee ◽  
L Fernando Gonzalez ◽  
David Woojin Jang ◽  
Ali Zomorodi
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Procedures ◽  
Internal Carotid ◽  
High Morbidity ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Safe Technique ◽  
Internal Carotid Artery Injury

Abstract BACKGROUND AND IMPORTANCE Iatrogenic internal carotid artery (ICA) injuries during endoscopic endonasal approach (EEA) surgeries are associated with a high morbidity and mortality, with few acceptable methods described for repair. CLINICAL PRESENTATION A 13-year-old girl with a large anterior and central skull base osteoblastoma incurred an iatrogenic cavernous ICA injury during a staged EEA approach. Intraoperative angiogram was performed with balloon-assisted EEA primary microsurgical repair of the lacerated ICA. CONCLUSION By integrating current techniques commonly used in open aneurysm surgeries and in endovascular procedures, we developed a rapid, safe technique to repair an EEA-associated iatrogenic ICA injury.

Intracavernous branches of the internal carotid artery through an endoscopic endonasal approach: anatomical study and review of the literature

2021 ◽  
Author(s):  
Juan Ángel Aibar-Durán ◽  
Fernando Muñoz-Hernández ◽  
Carlos Asencio-Cortés ◽  
Joan Montserrat-Gili ◽  
Juan Ramón Gras-Cabrerizo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Anatomical Study ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Review Of The Literature ◽  
Endoscopic Endonasal

Analysis of the petrous portion of the internal carotid artery: Landmarks for an endoscopic endonasal approach

2014 ◽  
Vol 124 (9) ◽  
pp. 1988-1994 ◽  
Author(s):  
Eric Mason ◽  
Jose Gurrola ◽  
Camilo Reyes ◽  
Jimmy J. Brown ◽  
Ramon Figueroa ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Petrous Portion

scholarly journals The pterygoclival ligament: a novel landmark for localization of the internal carotid artery during the endoscopic endonasal approach

2019 ◽  
Vol 130 (5) ◽  
pp. 1699-1709 ◽  
Author(s):  
Ali Tayebi Meybodi ◽  
Andrew S. Little ◽  
Vera Vigo ◽  
Arnau Benet ◽  
Sofia Kakaizada ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Fibrous Tissue ◽  
Petrous Apex ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Pterygoid Process ◽  
The Mean

OBJECTIVEThe transpterygoid extension of the endoscopic endonasal approach provides exposure of the petrous apex, Meckel’s cave, paraclival area, and the infratemporal fossa. Safe and efficient localization of the lacerum segment of the internal carotid artery (ICA) is a crucial part of such exposure. The aim of this study is to introduce a novel landmark for localization of the lacerum ICA.METHODSTen cadaveric heads were prepared for transnasal endoscopic dissection. The floor of the sphenoid sinus was drilled to expose an extension of the pharyngobasilar fascia between the sphenoid floor and the pterygoid process (the pterygoclival ligament). Several features of the pterygoclival ligament were assessed. In addition, 31 dry skulls were studied to assess features of the bony groove harboring the pterygoclival ligament.RESULTSThe pterygoclival ligament was identified bilaterally during drilling of the sphenoid floor in all specimens. The ligament started a few millimeters posterior to the posterior end of the vomer alae and invariably extended posterolaterally and superiorly to blend into the fibrous tissue around the lacerum ICA. The mean length of the ligament was 10.5 ± 1.7 mm. The mean distance between the anterior end of the ligament and midline was 5.2 ± 1.2 mm. The mean distance between the posterior end of the ligament and midline was 12.3 ± 1.4 mm. The bony pterygoclival groove was identified at the confluence of the vomer, pterygoid process of the sphenoid, and basilar part of the occipital bone, running from posterolateral to anteromedial. The mean length of the groove was 7.7 ± 1.8 mm. Its posterolateral end faced the anteromedial aspect of the foramen lacerum medial to the posterior end of the vidian canal. A clinical case illustration is also provided.CONCLUSIONSThe pterygoclival ligament is a consistent landmark for localization of the lacerum ICA. It may be used as an adjunct or alternative to the vidian nerve to localize the ICA during endoscopic endonasal surgery.

scholarly journals Devastating iatrogenic internal carotid artery rupture in endoscopic endonasal surgery rescued by a covered stent

2020 ◽  
Author(s):  
Xiaojie Fu ◽  
Tao Quan ◽  
Yongjie Yuan ◽  
Haowen Xu ◽  
Sheng Guan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Covered Stent ◽  
Therapeutic Strategies ◽  
Endoscopic Endonasal Surgery ◽  
Endonasal Surgery ◽  
Endoscopic Endonasal ◽  
Carotid Artery Rupture

This paper reported a case of devastating iatrogenic ICA rupture in endoscopic endonasal surgery (EES) rescued by a covered stent. We also discussed the therapeutic strategies of iatrogenic ICA rupture in EES, which is of help in the management of this devastating complication.

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