Repair of carotid artery perforations during transsphenoidal surgery

Surg Neurol. 1998 Aug;50(2):174-7. doi: 10.1016/s0090-3019(96)00416-8.


Background: Hemorrhage from carotid artery injury during transsphenoidal surgery is an unusual, but potentially fatal complication.

Methods: Among six patients experiencing laceration or perforation of the carotid artery, we treated four with a new technique using Teflon mesh and methyl methacrylate to form an external, artificial wall over the laceration and the carotid artery.

Results: In all four cases, hemorrhage was successfully controlled without neurologic deficit to the patient or complications frequently associated with the standard technique of nasal and sphenoid sinus packing removal.

Conclusions: Our new technique may be superior to packing alone, as well as potentially life-saving to the patient.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / surgery
  • Aged
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / surgery*
  • Carotid Artery Injuries*
  • Cerebral Angiography / methods
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / etiology
  • Humans
  • Intraoperative Complications / etiology*
  • Male
  • Pituitary Neoplasms / surgery
  • Sphenoid Bone / surgery*