Combined surgical treatment of cavernous internal carotid artery pseudoaneurysm

Usachev D.Iu.; Lukshin V.A.; Yakovlev S.B.; Kalinin P.L.; Sharipov O.I.; Kutin M.A.; Akhmedov A.D.; Bocharov A.V.; Aref’ev A.M.

doi:https://doi.org/10.17116/neiro2016805116-122

Usachev D.Iu.

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

Lukshin V.A.

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

Yakovlev S.B.

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

ORCID: 0000-0002-0798-2604

Kalinin P.L.

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

Sharipov O.I.

Burdenko Neurosurgical Institute, Moscow, Russian Federation

Kutin M.A.

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

Akhmedov A.D.

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

Bocharov A.V.

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

Aref’ev A.M.

Burdenko Neurosurgical Institute

Combined surgical treatment of cavernous internal carotid artery pseudoaneurysm

Authors:

Usachev D.Iu., Lukshin V.A., Yakovlev S.B., Kalinin P.L., Sharipov O.I., Kutin M.A., Akhmedov A.D., Bocharov A.V., Aref’ev A.M.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(5): 116‑123

DOI: 10.17116/neiro2016805116-122

Read: 1680 times

To cite this article:

Usachev DIu, Lukshin VA, Yakovlev SB, et al. . Combined surgical treatment of cavernous internal carotid artery pseudoaneurysm. Burdenko's Journal of Neurosurgery. 2016;80(5):116‑123. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2016805116-122

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

Использование инфографики авторами научных работ

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Abstract:

We describe a clinical case of surgical treatment of a cavernous internal carotid artery (ICA) pseudoaneurysm that developed due to damage to the artery during transsphenoidal resection of pituitary adenoma. Clinically, the aneurysm presented with episodes of profuse epistaxis that required tight nasal packing. Given the presence of an open circle of Willis, the patient underwent staged surgery that included the creation of a high-flow extra-intracranial anastomosis, subsequent endovascular ICA occlusion at the pseudoaneurysm level using balloon-assisted coiling, and endoscopic debridement of the nasal cavity. The combined surgical treatment of this rare complication successfully excluded the pseudoaneurysm from the bloodstream, which led to complete regression of nasal bleeding.

Keywords:

transsphenoidal approach

complications

high-flow anastomosis

pseudoaneurysm

internal carotid artery injury

Authors:

Usachev D.Iu.

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

Lukshin V.A.

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

Yakovlev S.B.

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

ORCID: 0000-0002-0798-2604

Kalinin P.L.

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

Sharipov O.I.

Burdenko Neurosurgical Institute, Moscow, Russian Federation

Kutin M.A.

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

Akhmedov A.D.

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

Bocharov A.V.

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

Aref’ev A.M.

Burdenko Neurosurgical Institute

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References:

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