Department of Neurosurgery, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA.
Neurosurgery. 2012 Sep;71(1 Suppl Operative):204-8. doi: 10.1227/NEU.0b013e31825b1eac.
Prominent intercavernous sinuses may result in vigorous bleeding during transsphenoidal resection of pituitary microadenomas and lead to incomplete or aborted tumor resection. We report the use of coil embolization of the intercavernous sinuses to prevent uncontrollable bleeding before transsphenoidal surgery is reattempted.
A 40-year-old man with Cushing disease underwent an attempt for transsphenoidal resection of an adrenocorticotrophic hormone--producing pituitary microadenoma. This approach was aborted secondary to profuse intercavernous sinus bleeding. The patient underwent endovascular coil embolization of the anterior intercavernous sinuses with complete obliteration. Six weeks later, he underwent successful transsphenoidal resection of the microadenoma.
To the best of our knowledge, this is the first report of successful coil embolization of the intercavernous sinuses to prevent uncontrolled bleeding before transsphenoidal resection of pituitary microadenomas.
在经蝶窦切除垂体微腺瘤的过程中，明显的海绵窦间窦可能导致剧烈出血，导致肿瘤切除不完全或中止。我们报告了在再次尝试经蝶窦手术前使用海绵窦间窦线圈栓塞来预防不可控制的出血。
一名 40 岁的库欣病患者，尝试经蝶窦切除促肾上腺皮质激素分泌的垂体微腺瘤。由于大量海绵窦间窦出血，该手术中止。患者接受了前海绵窦间窦的血管内线圈栓塞，完全闭塞。6 周后，他成功地进行了经蝶窦微腺瘤切除术。
据我们所知，这是首例成功地使用海绵窦间窦线圈栓塞来预防垂体微腺瘤经蝶窦切除前不可控制出血的报告。
