Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature

Abstract Background Internal carotid artery (ICA) injury is a hazardous catastrophe for the skull base surgery team. We aimed to illustrate the vital joints in this hazardous event during endoscopic surgery. Main text The condition is rare (1.1%) but fatal per se. Working in the field of endoscopic...

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Main Authors: Hieder Al-Shami, Ahmad K. Alnemare
Format: Article
Language:English
Published: SpringerOpen 2021-05-01
Series:Egyptian Journal of Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41984-021-00100-6
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author Hieder Al-Shami
Ahmad K. Alnemare
author_facet Hieder Al-Shami
Ahmad K. Alnemare
author_sort Hieder Al-Shami
collection DOAJ
description Abstract Background Internal carotid artery (ICA) injury is a hazardous catastrophe for the skull base surgery team. We aimed to illustrate the vital joints in this hazardous event during endoscopic surgery. Main text The condition is rare (1.1%) but fatal per se. Working in the field of endoscopic surgery is not free of charges. It demands a thorough knowledge of anatomy, variations, and pathoanatomy to expect what can be seen thereafter. Once the injury occurs, one must have a quite clear plan to proceed. Marvelous bleeding is confusing not only in the field but also in the mind process. Conclusion Endoscope teams when expose to this event should think in a stepwise manner. In our review, we explained the pathoanatomy of the field after an injury, pre-conditions of injury, and how to avoid certain drawbacks during management.
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spelling doaj.art-2390bb123d7e468c90cc474eefc665872022-12-21T22:10:07ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252021-05-013611510.1186/s41984-021-00100-6Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literatureHieder Al-Shami0Ahmad K. Alnemare1Al-Ahly Bank Hospital, Al-Amal HospitalOtolaryngology Department, College of Medicine, Majmaah UniversityAbstract Background Internal carotid artery (ICA) injury is a hazardous catastrophe for the skull base surgery team. We aimed to illustrate the vital joints in this hazardous event during endoscopic surgery. Main text The condition is rare (1.1%) but fatal per se. Working in the field of endoscopic surgery is not free of charges. It demands a thorough knowledge of anatomy, variations, and pathoanatomy to expect what can be seen thereafter. Once the injury occurs, one must have a quite clear plan to proceed. Marvelous bleeding is confusing not only in the field but also in the mind process. Conclusion Endoscope teams when expose to this event should think in a stepwise manner. In our review, we explained the pathoanatomy of the field after an injury, pre-conditions of injury, and how to avoid certain drawbacks during management.https://doi.org/10.1186/s41984-021-00100-6ICAPituitary surgeryIntraoperative injurySkull base surgery
spellingShingle Hieder Al-Shami
Ahmad K. Alnemare
Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
Egyptian Journal of Neurosurgery
ICA
Pituitary surgery
Intraoperative injury
Skull base surgery
title Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
title_full Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
title_fullStr Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
title_full_unstemmed Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
title_short Inadvertent internal carotid artery (ICA) injury during transsphenoidal surgery: review of literature
title_sort inadvertent internal carotid artery ica injury during transsphenoidal surgery review of literature
topic ICA
Pituitary surgery
Intraoperative injury
Skull base surgery
url https://doi.org/10.1186/s41984-021-00100-6
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AT ahmadkalnemare inadvertentinternalcarotidarteryicainjuryduringtranssphenoidalsurgeryreviewofliterature