Damage to the cavernous segment of internal carotid artery in transsphenoidal endoscopic removal of pituitary adenomas (report of 4 cases)

Kalinin P.L.; Sharipov O.I.; Shkarubo A.N.; Fomichev D.V.; Kutin M.A.; Alekseev S.N.; Kadashev B.A.; Yakovlev S.B.; Dorokhov P.S.; Bukharin E.Iu.; Kurnosov A.B.; Popugaev K.A.

doi:https://doi.org/

Kalinin P.L.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Sharipov O.I.

Burdenko Neurosurgical Institute, Moscow, Russian Federation

Shkarubo A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Fomichev D.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Kutin M.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Alekseev S.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Kadashev B.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

ORCID: 0000-0002-0798-2604

Dorokhov P.S.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Bukharin E.Iu.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Kurnosov A.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

Damage to the cavernous segment of internal carotid artery in transsphenoidal endoscopic removal of pituitary adenomas (report of 4 cases)

Authors:

Kalinin P.L., Sharipov O.I., Shkarubo A.N., Fomichev D.V., Kutin M.A., Alekseev S.N., Kadashev B.A., Yakovlev S.B., Dorokhov P.S., Bukharin E.Iu., Kurnosov A.B., Popugaev K.A.

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Journal: Burdenko's Journal of Neurosurgery. 2013;77(6): 28‑38

Read: 5320 times

To cite this article:

Kalinin PL, Sharipov OI, Shkarubo AN, et al. Damage to the cavernous segment of internal carotid artery in transsphenoidal endoscopic removal of pituitary adenomas (report of 4 cases). Burdenko's Journal of Neurosurgery. 2013;77(6):28‑38. (In Russ., In Engl.)

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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Abstract:

Endoscopic endonasal transsphenoidal approach (EETA) is an effective and relatively safe to remove pituitary adenomas and other sellar region tumors. One of the most serious complications of transsphenoidal surgery is damage to the cavernous segment of the internal carotid artery, which by different authors occurs at 0 to 3.8%. In the period from 2005 to March 2013 in Burdenko neurosurgical institute 3,000 patients with pituitary adenomas were operated by standard endoscopic transsphenoidal approach. Damage to the internal carotid artery (ICA) occurred in 4 patients, which amounted to 0.13%. To all patients with damage of the ICA angiography was performed in which identified one case of occlusion of the ICA and three cases of false aneurysm formation. Three patients underwent endovascular treatment. Damage to the internal carotid artery may be associated with the wrong orientation in the surgical wound, or excessively aggressive manipulations in the cavernous sinus. Damage to the cavernous segment of the ICA during transsphenoidal surgery is a rare but potentially fatal complication. Extremely important is the correct localization of the middle line and ICA using navigation systems and Doppler ultrasound.

Keywords:

endoscopic endonasal surgery

pituitary adenoma

injury ICA

Authors:

Kalinin P.L.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Sharipov O.I.

Burdenko Neurosurgical Institute, Moscow, Russian Federation

Shkarubo A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Fomichev D.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Kutin M.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Alekseev S.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Kadashev B.A.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

ORCID: 0000-0002-0798-2604

Dorokhov P.S.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Bukharin E.Iu.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Kurnosov A.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Popugaev K.A.

N.V. Sklifosovsky Research Institute of Emergency Care, Moscow, Russia

ORCID: 0000-0002-6240-820X

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References:

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