Vascular complications of transsphenoidal surgery

Pituitary. 1999 Aug;2(2):163-70. doi: 10.1023/a:1009951917649.

Abstract

Vascular complication of transsphenoidal surgery can lead to mortality and serious morbidity. In a series of 3,061 transsphenoidal operations for pituitary disease, 24 such complications were encountered, seven of which were fatal. The anatomic substrate for such complications is discussed, along with technical aspects of surgery and other methods for the avoidance of vascular complications.

MeSH terms

  • Aneurysm, False / blood
  • Aneurysm, False / mortality
  • Aneurysm, False / therapy
  • Blood Loss, Surgical / mortality
  • Carotid Artery Injuries / blood
  • Carotid Artery Injuries / mortality
  • Carotid Artery Injuries / therapy
  • Endocrine Surgical Procedures / adverse effects*
  • Endocrine Surgical Procedures / mortality
  • Humans
  • Hypothalamus / injuries
  • Intraoperative Complications / blood*
  • Intraoperative Complications / mortality
  • Intraoperative Complications / therapy
  • Pituitary Apoplexy / blood
  • Pituitary Apoplexy / mortality
  • Pituitary Apoplexy / therapy
  • Pituitary Neoplasms / blood supply
  • Pituitary Neoplasms / surgery*
  • Postoperative Hemorrhage / blood
  • Postoperative Hemorrhage / mortality
  • Postoperative Hemorrhage / therapy
  • Retrospective Studies
  • Sella Turcica / blood supply
  • Sella Turcica / surgery
  • Sphenoid Bone / blood supply
  • Sphenoid Bone / surgery*
  • Thrombosis / blood
  • Thrombosis / mortality
  • Thrombosis / therapy
  • Vascular Diseases / blood*
  • Vascular Diseases / mortality
  • Vascular Diseases / therapy