Endoscopic repair of an injured internal carotid artery utilizing femoral endovascular closure devices

Rompaey, Jason Van; Bowers, G M; Radhakrishnan, Jay; Panizza, Benedict; Solares, C. Arturo

doi:10.1002/lary.24403

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…Once the site of injury to the artery is identified, it can be repaired endoscopically. 11 In microsurgical exposure, the ruptured artery is sutured or repaired with a muscle patch, U-CLIP (Medtronic, Inc., Minneapolis, MN) anastomotic devices and/or Teflon ® . [12][13][14] Endovascular treatments include placement of a stent or embolisation.…”

Section: Discussionmentioning

confidence: 99%

“…Proximal control or lowering arterial pressure may slow blood loss. Once the site of injury to the artery is identified, it can be repaired endoscopically 11 . In microsurgical exposure, the ruptured artery is sutured or repaired with a muscle patch, U-CLIP (Medtronic, Inc., Minneapolis, MN) anastomotic devices and/or Teflon ® 12 – 14 .…”

Section: Discussionmentioning

confidence: 99%

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Comparison of lateral microsurgical preauricular and anterior endoscopic approaches to the jugular foramen

Komune

Matsushima

et al. 2015

J. Laryngol. Otol.

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The anterior endoscopic approach to the anterolateral part of the jugular foramen is a useful alternative to the lateral microsurgical preauricular approach in carefully selected cases. The vaginal process of the tympanic part of the temporal bone provides a valuable landmark to aid in accessing the jugular foramen in both procedures and can be drilled to open the foramen in the preauricular approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of lateral microsurgical preauricular and anterior endoscopic approaches to the jugular foramen

Komune

Matsushima

et al. 2015

J. Laryngol. Otol.

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“…15 Successful endoscopic-assisted transsphenoidal deployments of different femoral arteriotomy-closure devices, normally used in endovascular procedures, were described in a cadaveric setting. 16 However, these devices were not tested in hemodynamic models. If clipping or suturing is attempted, appliers and microinstruments should be used, which can pass the nasal cavity and can be opened and closed in different angles in the sphenoid sinus like the instruments used in this study.…”

Section: Discussionmentioning

confidence: 99%

Simulating Internal Carotid Artery Injury during Transsphenoidal Transclival Endoscopic Surgery in a Perfused Cadaver Model

et al. 2017

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Managing internal carotid artery (ICA) injury during extended endoscopic transsphenoidal surgery is an extreme challenge. We aimed to find a possible surgical treatment strategy. We operated seven fresh, perfused cadaver heads with a transsphenoidal endoscopic approach of the ICA using a three-dimensional-high definition (3D-HD) endoscope. We made a paraclival ICA leak, which we tried to manage with clips and microsutures. Accurate transsphenoidal clip application on the ICA was impossible with standard aneurysm clips and applier. It was only feasible with a 9 mm slightly bended clip that could be opened from the inside and be applied with a dedicated flexible thin applier. Transsphenoidal suturing of an ICA leak was impossible from the ipsilateral nostril or with standard microinstruments. Suturing was only feasible from the contralateral nostril using flexible microinstruments with a thin 90-mm shaft. This was technically very challenging and involved a steep learning curve. Tamponade with muscle or fat and a quick transfer to the angiography suite for endovascular control remains the preferable option in case of an ICA leak during endoscopic transsphenoidal surgery. If tamponade gives insufficient initial control, ICA clipping could be possible with dedicated instruments, with risk of increasing the defect, stenosis, or occlusion of the vessel. Transsphenoidal ICA suturing remains extremely difficult, and laboratory practice seems essential.

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“…as further miniaturization, chip on the tip technique, with variable angle of view or in combination with innovative endoscope holders. Currently tested are technical systems to treat an injured internal carotid artery [ 12 ], [ 26 ], [ 330 ], [ 719 ], [ 739 ], [ 740 ], [ 741 ], [ 742 ], [ 743 ].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive review on rhino-neurosurgery

Hosemann

Schroeder

2015

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 14:Doc01

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Endoscopic repair of an injured internal carotid artery utilizing femoral endovascular closure devices

Abstract: NA.

Cited by 9 publications

References 18 publications

Comparison of lateral microsurgical preauricular and anterior endoscopic approaches to the jugular foramen

Comparison of lateral microsurgical preauricular and anterior endoscopic approaches to the jugular foramen

Simulating Internal Carotid Artery Injury during Transsphenoidal Transclival Endoscopic Surgery in a Perfused Cadaver Model

Comprehensive review on rhino-neurosurgery

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