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海绵窦段颈内动脉瘘及海绵窦段颈内动脉假性动脉瘤:经蝶窦手术的并发症

Carotid cavernous fistula and false aneurysm of the cavernous carotid artery: complications of transsphenoidal surgery.

作者信息

Ahuja A, Guterman L R, Hopkins L N

机构信息

Department of Neurosurgery, School of Medicine and Biomedical Sciences, State University of New York, Buffalo.

出版信息

Neurosurgery. 1992 Oct;31(4):774-8; discussion 778-9. doi: 10.1227/00006123-199210000-00025.

Abstract

Injury to the cavernous internal carotid artery is an unusual and serious complication of transsphenoidal surgery. Two such patients with injury to the carotid artery, referred for endovascular treatment, are reported. The clinical course and successful treatment of these patients, one with an intracavernous false aneurysm and one with a carotid cavernous fistula, are described. A review of these vascular complications of transsphenoidal surgery is presented.

摘要

海绵窦段颈内动脉损伤是经蝶窦手术罕见且严重的并发症。本文报告了两例因颈内动脉损伤而前来接受血管内治疗的患者。描述了这两名患者的临床病程及成功治疗过程,其中一例为海绵窦内假性动脉瘤,另一例为颈内动脉海绵窦瘘。本文还对经蝶窦手术的这些血管并发症进行了综述。

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