Araştırma Makalesi
BibTex RIS Kaynak Göster

Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions

Yıl 2024, Cilt: 10 Sayı: 1, 15 - 18, 15.03.2024

Melih Çaklılı

https://doi.org/10.30934/kusbed.1373638

Öz

Objective: Vascular complications are one of the most dangerous complications of endoscopic skull base surgeries. The aim of this study was to evaluate vascular complications of endoscopic transsphenoidal surgery in patients with sellar and parasellar lesions.

Methods: Between August 1997 and July 2023, a total of 5300 patients underwent endoscopic transsphenoidal surgery for skull base lesions at Kocaeli University Faculty of Medicine, Department of Neurosurgery and Pituitary Research Center. Patients with vascular complications during and after surgery were included into the study.

Results: We encountered 12 major vascular injuries, 116 epistaxis, and 50 operation site hematoma in our series.

Conclusion: Major vascular injuries are the most life-threatening complicastions. They can cause high mortality. The ways to prevent these injuries seems to have high experience and to investigate preoperative vascular evaluation in detail.

Anahtar Kelimeler

Endoscopic transsphenoidal surgery complications vascular epistaxis cavernous sinus

Etik Beyan

07.09.2023 – GOKAEK-2023/14.35

Kaynakça

  • Taghvaei M, Fallah S, Sadaghiani S, et al. Surgical complications of endoscopic approach to skull base: analysis of 584 consecutive patients. Eur Arch Oto-Rhino-Laryngology. 2022;279(6):3189-3199. doi:10.1007/s00405-022-07256-3.
  • Cappabianca P, Cavallo LM, De Divitiis E, Day JD, Ciric IS, Laws ER. Endoscopic endonasal transsphenoidal surgery. Neurosurgery. 2004;55(4):933-941. doi:10.1227/01.NEU.0000137330.02549.0D.
  • Tabaee A, Anand VK, Barrón Y, et al. Endoscopic pituitary surgery: A systematic review and meta-analysis: Clinical article. J Neurosurg. 2009;111(3):545-554. doi:10.3171/2007.12.17635.
  • Hattori Y, Tahara S, Aso S, et al. Pituitary surgery’s epidemiology using a national inpatient database in Japan. Acta Neurochir (Wien). 2020;162(6):1317-1323. doi:10.1007/s00701-020-04270-4.
  • Namvar M, Iranmehr A, Fathi MR, et al. Complications in Endoscopic Endonasal Pituitary Adenoma Surgery: An Institution Experience in 310 Patients. J Neurol Surgery, Part B Skull Base. 2022;84(3):255-265. doi:10.1055/a-1838-5897.
  • Sharma RK, Irace AL, Overdevest JB, Gudis DA. Carotid artery injury in endoscopic endonasal surgery: Risk factors, prevention, and management. World J Otorhinolaryngol - Head Neck Surg. 2022;8(1):54-60. doi:10.1002/wjo2.7.
  • Teramoto S, Tahara S, Murai Y, et al. Injury to the Extrasellar Portion of the Internal Carotid Artery during Endoscopic Transsphenoidal Surgery: A Case Report. Front Surg. 2022;9(May):1-6. doi:10.3389/fsurg.2022.895233.
  • Kassam AB, Prevedello DM, Carrau RL, et al. Endoscopic endonasal skull base surgery: Analysis of complications in the authors’ initial 800 patients - A review. J Neurosurg. 2011;114(6):1544-1568. doi:10.3171/2010.10.JNS09406. Alfieri A, Jho HD. Endoscopic endonasal approaches to the cavernous sinus: Surgical approaches. Neurosurgery. 2001;49(2):354-362. doi:10.1097/00006123-200108000-00017.
  • Ceylan S, Koc K, Anik I. Endoscopic endonasal transsphenoidal approach for pituitary adenomas invading the cavernous sinus. J Neurosurg. 2010;112(1):99-107. doi:10.3171/2009.4.JNS09182.
  • Ceylan S, Koc K, Anik I. Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev. 2009;32(3):309-319. doi:10.1007/s10143-009-0201-9.
  • Montagne W, Lloyd N, Sagalow E, Cox E, Hardman J, Kim J-H. Internal Carotid Artery Pseudoaneurysm After Transsphenoidal Pituitary Tumor Resection: A Case Report. Cureus. 2023;15(3). doi:10.7759/cureus.36539.
  • Ramachandran SN, Retnathankom A, Rege I, Reddy KT. Endovascular management of a sphenopalatine artery pseudoaneurysm: a rare cause of delayed intractable epistaxis following endoscopic transsphenoidal pituitary surgery. BMJ Case Rep. 2023;16(5):1-5. doi:10.1136/bcr-2022-253998.

Yıl 2024, Cilt: 10 Sayı: 1, 15 - 18, 15.03.2024

Melih Çaklılı

https://doi.org/10.30934/kusbed.1373638

Öz

Kaynakça

  • Taghvaei M, Fallah S, Sadaghiani S, et al. Surgical complications of endoscopic approach to skull base: analysis of 584 consecutive patients. Eur Arch Oto-Rhino-Laryngology. 2022;279(6):3189-3199. doi:10.1007/s00405-022-07256-3.
  • Cappabianca P, Cavallo LM, De Divitiis E, Day JD, Ciric IS, Laws ER. Endoscopic endonasal transsphenoidal surgery. Neurosurgery. 2004;55(4):933-941. doi:10.1227/01.NEU.0000137330.02549.0D.
  • Tabaee A, Anand VK, Barrón Y, et al. Endoscopic pituitary surgery: A systematic review and meta-analysis: Clinical article. J Neurosurg. 2009;111(3):545-554. doi:10.3171/2007.12.17635.
  • Hattori Y, Tahara S, Aso S, et al. Pituitary surgery’s epidemiology using a national inpatient database in Japan. Acta Neurochir (Wien). 2020;162(6):1317-1323. doi:10.1007/s00701-020-04270-4.
  • Namvar M, Iranmehr A, Fathi MR, et al. Complications in Endoscopic Endonasal Pituitary Adenoma Surgery: An Institution Experience in 310 Patients. J Neurol Surgery, Part B Skull Base. 2022;84(3):255-265. doi:10.1055/a-1838-5897.
  • Sharma RK, Irace AL, Overdevest JB, Gudis DA. Carotid artery injury in endoscopic endonasal surgery: Risk factors, prevention, and management. World J Otorhinolaryngol - Head Neck Surg. 2022;8(1):54-60. doi:10.1002/wjo2.7.
  • Teramoto S, Tahara S, Murai Y, et al. Injury to the Extrasellar Portion of the Internal Carotid Artery during Endoscopic Transsphenoidal Surgery: A Case Report. Front Surg. 2022;9(May):1-6. doi:10.3389/fsurg.2022.895233.
  • Kassam AB, Prevedello DM, Carrau RL, et al. Endoscopic endonasal skull base surgery: Analysis of complications in the authors’ initial 800 patients - A review. J Neurosurg. 2011;114(6):1544-1568. doi:10.3171/2010.10.JNS09406. Alfieri A, Jho HD. Endoscopic endonasal approaches to the cavernous sinus: Surgical approaches. Neurosurgery. 2001;49(2):354-362. doi:10.1097/00006123-200108000-00017.
  • Ceylan S, Koc K, Anik I. Endoscopic endonasal transsphenoidal approach for pituitary adenomas invading the cavernous sinus. J Neurosurg. 2010;112(1):99-107. doi:10.3171/2009.4.JNS09182.
  • Ceylan S, Koc K, Anik I. Extended endoscopic approaches for midline skull-base lesions. Neurosurg Rev. 2009;32(3):309-319. doi:10.1007/s10143-009-0201-9.
  • Montagne W, Lloyd N, Sagalow E, Cox E, Hardman J, Kim J-H. Internal Carotid Artery Pseudoaneurysm After Transsphenoidal Pituitary Tumor Resection: A Case Report. Cureus. 2023;15(3). doi:10.7759/cureus.36539.
  • Ramachandran SN, Retnathankom A, Rege I, Reddy KT. Endovascular management of a sphenopalatine artery pseudoaneurysm: a rare cause of delayed intractable epistaxis following endoscopic transsphenoidal pituitary surgery. BMJ Case Rep. 2023;16(5):1-5. doi:10.1136/bcr-2022-253998.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Özgün Araştırma / Tıp Bilimleri
Yazarlar

Melih Çaklılı 0000-0002-4405-0566

Yayımlanma Tarihi 15 Mart 2024
Gönderilme Tarihi 10 Ekim 2023
Kabul Tarihi 3 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 10 Sayı: 1

Kaynak Göster

APA Çaklılı, M. (2024). Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 10(1), 15-18. https://doi.org/10.30934/kusbed.1373638
AMA Çaklılı M. Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions. KOU Sag Bil Derg. Mart 2024;10(1):15-18. doi:10.30934/kusbed.1373638
Chicago Çaklılı, Melih. “Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 10, sy. 1 (Mart 2024): 15-18. https://doi.org/10.30934/kusbed.1373638.
EndNote Çaklılı M (01 Mart 2024) Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 10 1 15–18.
IEEE M. Çaklılı, “Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions”, KOU Sag Bil Derg, c. 10, sy. 1, ss. 15–18, 2024, doi: 10.30934/kusbed.1373638.
ISNAD Çaklılı, Melih. “Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 10/1 (Mart 2024), 15-18. https://doi.org/10.30934/kusbed.1373638.
JAMA Çaklılı M. Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions. KOU Sag Bil Derg. 2024;10:15–18.
MLA Çaklılı, Melih. “Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, c. 10, sy. 1, 2024, ss. 15-18, doi:10.30934/kusbed.1373638.
Vancouver Çaklılı M. Vascular Complications of Endoscopic Transsphenoidal Approach to Sellar Base Lesions. KOU Sag Bil Derg. 2024;10(1):15-8.
 Kapak Resmi İndir