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Management of arterial injuries in endoscopic endonasal approaches.


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.

SUBMITTER: McDowell MM 

PROVIDER: S-EPMC9542590 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Management of arterial injuries in endoscopic endonasal approaches.

McDowell Michael M MM   Zenonos Georgios G   Wang Eric E   Snyderman Carl H CH   Gardner Paul A PA  

Neurosurgical focus: Video 20200401 2


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 d  ...[more]

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