Acute endovascular repair of iatrogenic right internal carotid arterial laceration

Acta Radiol Short Rep. 2013 Jun 27;2(5):2047981613496088. doi: 10.1177/2047981613496088. eCollection 2013.

Abstract

Carotid arterial bleeding is a feared and possible life-threatening complication of transsphenoidal surgery. We present a case of a meningioma that during resection had a serious complication with laceration of the internal carotid artery (ICA). These patients rarely undergo endovascular treatment, with indications mainly due to the development of pseudoaneurysms or penetrating trauma. However, endovascular treatment with covered stents of carotid arterial bleedings is a feasible alternative due to technical advances and smaller sized stentgrafts that expand treatment options.

Keywords: Meningioma; arterial bleeding; stentgraft; transsphenoidal surgery.

Publication types

  • Case Reports