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Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach

In the clinical practice of neurosurgery, the endoscopic endonasal approach (EEA) has been the mainstream approach in the management of sellar region diseases. However, clinicians have come to realize that EEA procedure is associated with intraoperative hemorrhage. Due to the limited surgical field...

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Autores principales: Yan, Siyu, Liu, Yifan, Liu, Chang, Yang, Li, Qin, Yun, Liu, Ran, Wang, Shan, Li, Xue, Yang, Wenjie, Ma, Lu, You, Chao, Zhou, Liangxue, Tian, Rui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763682/
https://www.ncbi.nlm.nih.gov/pubmed/35058885
http://dx.doi.org/10.3389/fendo.2021.802426
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author Yan, Siyu
Liu, Yifan
Liu, Chang
Yang, Li
Qin, Yun
Liu, Ran
Wang, Shan
Li, Xue
Yang, Wenjie
Ma, Lu
You, Chao
Zhou, Liangxue
Tian, Rui
author_facet Yan, Siyu
Liu, Yifan
Liu, Chang
Yang, Li
Qin, Yun
Liu, Ran
Wang, Shan
Li, Xue
Yang, Wenjie
Ma, Lu
You, Chao
Zhou, Liangxue
Tian, Rui
author_sort Yan, Siyu
collection PubMed
description In the clinical practice of neurosurgery, the endoscopic endonasal approach (EEA) has been the mainstream approach in the management of sellar region diseases. However, clinicians have come to realize that EEA procedure is associated with intraoperative hemorrhage. Due to the limited surgical field and poor proximal control under endoscope, massive hemorrhage always leads to severe complication or even perioperative death. Previously, intraoperative hemorrhage used to be attributed to endoscopic intervention of cavernous sinus or internal carotid artery, but our recent understanding of EEA indicated that preoperatively complicated intracranial aneurysms (IAs) may play a role. In this article, we retrospectively reviewed the baseline characteristics, treatment strategy, pathology, intraoperative findings, as well as radiological profiles of sellar region lesions complicated with IAs. With the focus put on the high comorbidity rate of sellar region lesions and IAs, we did further statistical analysis to sketch the outline of this coexisting circumstance and to emphasize the importance of computed tomography angiography (CTA) as routine EEA preoperative examination. Thorough patient-surgeon communication should be proceeded before the formulation of an individualized treatment strategy.
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spelling pubmed-87636822022-01-19 Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach Yan, Siyu Liu, Yifan Liu, Chang Yang, Li Qin, Yun Liu, Ran Wang, Shan Li, Xue Yang, Wenjie Ma, Lu You, Chao Zhou, Liangxue Tian, Rui Front Endocrinol (Lausanne) Endocrinology In the clinical practice of neurosurgery, the endoscopic endonasal approach (EEA) has been the mainstream approach in the management of sellar region diseases. However, clinicians have come to realize that EEA procedure is associated with intraoperative hemorrhage. Due to the limited surgical field and poor proximal control under endoscope, massive hemorrhage always leads to severe complication or even perioperative death. Previously, intraoperative hemorrhage used to be attributed to endoscopic intervention of cavernous sinus or internal carotid artery, but our recent understanding of EEA indicated that preoperatively complicated intracranial aneurysms (IAs) may play a role. In this article, we retrospectively reviewed the baseline characteristics, treatment strategy, pathology, intraoperative findings, as well as radiological profiles of sellar region lesions complicated with IAs. With the focus put on the high comorbidity rate of sellar region lesions and IAs, we did further statistical analysis to sketch the outline of this coexisting circumstance and to emphasize the importance of computed tomography angiography (CTA) as routine EEA preoperative examination. Thorough patient-surgeon communication should be proceeded before the formulation of an individualized treatment strategy. Frontiers Media S.A. 2021-01-04 /pmc/articles/PMC8763682/ /pubmed/35058885 http://dx.doi.org/10.3389/fendo.2021.802426 Text en Copyright © 2021 Yan, Liu, Liu, Yang, Qin, Liu, Wang, Li, Yang, Ma, You, Zhou and Tian https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Yan, Siyu
Liu, Yifan
Liu, Chang
Yang, Li
Qin, Yun
Liu, Ran
Wang, Shan
Li, Xue
Yang, Wenjie
Ma, Lu
You, Chao
Zhou, Liangxue
Tian, Rui
Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title_full Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title_fullStr Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title_full_unstemmed Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title_short Sellar Region Lesions and Intracranial Aneurysms in the Era of Endoscopic Endonasal Approach
title_sort sellar region lesions and intracranial aneurysms in the era of endoscopic endonasal approach
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763682/
https://www.ncbi.nlm.nih.gov/pubmed/35058885
http://dx.doi.org/10.3389/fendo.2021.802426
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