Title
Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm
Document Type
Article
Publication Title
Journal of neurological surgery reports
Abstract
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.
First Page
e43
Last Page
e48
DOI
https://doi.org/10.1055/s-0041-1735284
Publication Date
12-1-2021
Recommended Citation
Liu, Ann; Rincon-Torroella, Jordina; Bender, Matthew T.; McDougall, Cameron G.; Tufaro, Anthony P.; London, Nyall R.; Coon, Alexander L.; Reh, Douglas; and Gallia, Gary L., "Combined Pipeline Embolization Device with Endoscopic Endonasal Fascia Lata/Muscle Graft Repair as a Salvage Technique for Treatment of Iatrogenic Carotid Artery Pseudoaneurysm" (2021). Otolaryngology. 11.
https://scholarlycommons.gbmc.org/otolar/11