OBJECTIVE Internal carotid artery (ICA) injury is a rare but severe complication of endonasal surgery. The authors describe their endovascular experience managing ICA injuries after transsphenoidal surgery; they review and summarize the current literature regarding endovascular techniques; and they propose a treatment algorithm based on the available evidence. METHODS A retrospective review of 576 transsphenoidal pituitary adenoma resections was performed. Cases of ICA injury occurring at our institution and transfers from other hospitals were evaluated. Endovascular treatments for ICA injury reported in the literature were also reviewed and summarized. RESULTS Seven cases were identified from the institutional cohort (mean age 46.3 years, mean follow-up 43.4 months [1-107 months]) that received endovascular treatment for ICA injury. Five injuries occurred at our institution (5 [0.9

作者：Peter T, Sylvester；Christopher J, Moran；Colin P, Derdeyn；DeWitte T, Cross；Ralph G, Dacey；Gregory J, Zipfel；Albert H, Kim；Ravi, Uppaluri；Bruce H, Haughey；Rene, Tempelhoff；Keith M, Rich；John, Schneider；Richard A, Chole；Michael R, Chicoine

来源：Journal of neurosurgery 2016 年 125卷 5期