Intraoperative Carotid Artery Injury during Endoscopic Transsphenoidal Surgery for Pituitary Adenomas.

This article, published in the Journal of Neurological Surgery, discusses the incidence, risk factors, management, and outcomes of internal carotid artery (ICA) injuries during endoscopic transsphenoidal surgery (ETSS) for pituitary adenomas. The study, conducted at the University of Washington Medical Center, included 910 ETSS cases, of which 5 (0.5%) resulted in intraoperative carotid injury. The article highlights the importance of prevention and immediate management, such as hemodynamic support, visualization of the injury, and transport to the angiography suite. The study also discusses different treatment options, including endovascular flow diversion and coil sacrifice, depending on the patient's collaterals and injury. [Extracted from the article]