Management of arterial injuries in endoscopic endonasal approaches

This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss. An MRI was performed showing a suprasellar mass for which she had been referred to our center for an endoscopic endonasal approach. The tu...

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Detalles Bibliográficos
Autores principales: McDowell, Michael M., Zenonos, Georgios, Wang, Eric, Snyderman, Carl H., Gardner, Paul A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542590/
https://www.ncbi.nlm.nih.gov/pubmed/36284786
http://dx.doi.org/10.3171/2020.4.FocusVid.19976
Descripción
Sumario:This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss. An MRI was performed showing a suprasellar mass for which she had been referred to our center for an endoscopic endonasal approach. The tumor was found to be densely adherent to adjacent structures, and an ophthalmic artery and A1–A2 junction injury were sustained during resection. The management of intraoperative vascular injuries is described. The video can be found here: https://youtu.be/JJY6nYKTCSg.

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