Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm

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 o...

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Autores principales:	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
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	endoscopic endonasal fascia lata iatrogenic carotid injury muscle graft pituitary adenoma pipeline embolization pseudoaneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/46da064696b54f838b00959f8cfdc09c
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spelling	oai:doaj.org-article:46da064696b54f838b00959f8cfdc09c2021-12-01T23:46:39ZCombined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm2193-63582193-636610.1055/s-0041-1735284https://doaj.org/article/46da064696b54f838b00959f8cfdc09c2021-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735284https://doaj.org/toc/2193-6358https://doaj.org/toc/2193-6366The 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.Ann LiuJordina Rincon-TorroellaMatthew T. BenderCameron G. McDougallAnthony P. TufaroNyall R. London JrAlexander L. CoonDouglas D. RehGary L. GalliaGeorg Thieme Verlag KGarticleendoscopic endonasalfascia lataiatrogenic carotid injurymuscle graftpituitary adenomapipeline embolizationpseudoaneurysmSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENJournal of Neurological Surgery Reports, Vol 82, Iss 04, Pp e43-e48 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endoscopic endonasal fascia lata iatrogenic carotid injury muscle graft pituitary adenoma pipeline embolization pseudoaneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	endoscopic endonasal fascia lata iatrogenic carotid injury muscle graft pituitary adenoma pipeline embolization pseudoaneurysm Surgery RD1-811 Neurology. Diseases of the nervous system RC346-429 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 Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
description	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.
format	article
author	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
author_facet	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
author_sort	Ann Liu
title	Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
title_short	Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
title_full	Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
title_fullStr	Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
title_full_unstemmed	Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
title_sort	combined pipeline embolization device with endoscopic endonasal fascia lata/muscle graft repair as a salvage technique for treatment of iatrogenic carotid artery pseudoaneurysm
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/46da064696b54f838b00959f8cfdc09c
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Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm

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