False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery

R. Kachhara, G. Menon, R.N. Bhattacharya, S. Nair, A.K. Gupta, S. Gadhinglajkar, R.C. Rathod

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm/fistula.
Original languageEnglish
Pages (from-to)81-83
Number of pages3
JournalNeurology India
Volume51
Issue number1
Publication statusPublished - 2003

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False Aneurysm
Carotid Arteries
Fistula
Balloon Occlusion
Cerebral Angiography
Pituitary Neoplasms
Wounds and Injuries

Cite this

Kachhara, R., Menon, G., Bhattacharya, R. N., Nair, S., Gupta, A. K., Gadhinglajkar, S., & Rathod, R. C. (2003). False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery. Neurology India, 51(1), 81-83.
Kachhara, R. ; Menon, G. ; Bhattacharya, R.N. ; Nair, S. ; Gupta, A.K. ; Gadhinglajkar, S. ; Rathod, R.C. / False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery. In: Neurology India. 2003 ; Vol. 51, No. 1. pp. 81-83.
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abstract = "We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm/fistula.",
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Kachhara, R, Menon, G, Bhattacharya, RN, Nair, S, Gupta, AK, Gadhinglajkar, S & Rathod, RC 2003, 'False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery', Neurology India, vol. 51, no. 1, pp. 81-83.

False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery. / Kachhara, R.; Menon, G.; Bhattacharya, R.N.; Nair, S.; Gupta, A.K.; Gadhinglajkar, S.; Rathod, R.C.

In: Neurology India, Vol. 51, No. 1, 2003, p. 81-83.

Research output: Contribution to journalArticle

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T1 - False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery

AU - Kachhara, R.

AU - Menon, G.

AU - Bhattacharya, R.N.

AU - Nair, S.

AU - Gupta, A.K.

AU - Gadhinglajkar, S.

AU - Rathod, R.C.

N1 - cited By 14

PY - 2003

Y1 - 2003

N2 - We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm/fistula.

AB - We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm/fistula.

M3 - Article

VL - 51

SP - 81

EP - 83

JO - Neurology India

JF - Neurology India

SN - 0028-3886

IS - 1

ER -