Management of arterial injuries in endoscopic endonasal approaches.

Authors :: McDowell MM
Zenonos G
Wang E
Snyderman CH
Gardner PA
Source :: Neurosurgical focus: Video [Neurosurg Focus Video] 2020 Apr 01; Vol. 2 (2), pp. V4. Date of Electronic Publication: 2020 Apr 01 (Print Publication: 2020).
Publication Year :: 2020
Abstract: 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.<br />Competing Interests: Disclosures The author reports no conflict of interest concerning the materials or methods used in this study or the findings specified in this article.<br /> (© 2020, The Authors.)