Carotid cavernous fistula and false aneurysm of the cavernous carotid artery: complications of transsphenoidal surgery

Neurosurgery. 1992 Oct;31(4):774-8; discussion 778-9. doi: 10.1227/00006123-199210000-00025.

Abstract

Injury to the cavernous internal carotid artery is an unusual and serious complication of transsphenoidal surgery. Two such patients with injury to the carotid artery, referred for endovascular treatment, are reported. The clinical course and successful treatment of these patients, one with an intracavernous false aneurysm and one with a carotid cavernous fistula, are described. A review of these vascular complications of transsphenoidal surgery is presented.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenoma / diagnostic imaging
  • Adenoma / surgery*
  • Adult
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / therapy
  • Arteriovenous Fistula / diagnostic imaging*
  • Arteriovenous Fistula / therapy
  • Carotid Artery Diseases / diagnostic imaging*
  • Carotid Artery Diseases / therapy
  • Carotid Artery, Internal / diagnostic imaging
  • Cavernous Sinus / diagnostic imaging*
  • Cavernous Sinus / injuries
  • Cerebral Angiography
  • Embolization, Therapeutic
  • Female
  • Humans
  • Hypophysectomy
  • Middle Aged
  • Pituitary Neoplasms / diagnostic imaging
  • Pituitary Neoplasms / surgery*
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / therapy