Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate
Vascular lesions of the external carotid artery after transsphenoidal pituitary surgery are rare. Immediate diagnosis must be done and endovascular embolization is the treatment of choice. We report the case of a 53-year-old woman with visual complaints who underwent transsphenoidal surgery of a pit...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-09-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1698000 |
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| author | Giancarlo Saal-Zapata Walter Durand Castro Rodolfo Rodriguez Varela |
| author_facet | Giancarlo Saal-Zapata Walter Durand Castro Rodolfo Rodriguez Varela |
| author_sort | Giancarlo Saal-Zapata |
| collection | DOAJ |
| description | Vascular lesions of the external carotid artery after transsphenoidal pituitary surgery are rare. Immediate diagnosis must be done and endovascular embolization is the treatment of choice. We report the case of a 53-year-old woman with visual complaints who underwent transsphenoidal surgery of a pituitary adenoma with good clinical and radiological evolution. Five days after surgery nasal tampons were removed and suddenly the patient started to bleed: nasal packing and air way protection were required. Digital subtraction angiography revealed an endonasal arteriovenous fistula with a feeder from the sphenopalatine artery and drainage to sphenopalatine veins. Embolization with N-butyl-2-cyanoacrylate was performed with total obliteration of the arteriovenous fistula. We suggest that endovascular treatment of external carotid artery lesions after transsphenoidal surgery is the best alternative in cases of active bleeding. |
| format | Article |
| id | doaj-art-fdb8ee7e1b5a4ab2ba9aada22ec3dcdb |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-fdb8ee7e1b5a4ab2ba9aada22ec3dcdb2025-08-20T02:04:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672019-09-01080319619810.1055/s-0039-1698000Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-CyanoacrylateGiancarlo Saal-Zapata0Walter Durand Castro1Rodolfo Rodriguez Varela2Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruVascular lesions of the external carotid artery after transsphenoidal pituitary surgery are rare. Immediate diagnosis must be done and endovascular embolization is the treatment of choice. We report the case of a 53-year-old woman with visual complaints who underwent transsphenoidal surgery of a pituitary adenoma with good clinical and radiological evolution. Five days after surgery nasal tampons were removed and suddenly the patient started to bleed: nasal packing and air way protection were required. Digital subtraction angiography revealed an endonasal arteriovenous fistula with a feeder from the sphenopalatine artery and drainage to sphenopalatine veins. Embolization with N-butyl-2-cyanoacrylate was performed with total obliteration of the arteriovenous fistula. We suggest that endovascular treatment of external carotid artery lesions after transsphenoidal surgery is the best alternative in cases of active bleeding.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1698000pituitaryarteriovenous fistulan-butyl-2-cyanoacrylatetranssphenoidal surgery |
| spellingShingle | Giancarlo Saal-Zapata Walter Durand Castro Rodolfo Rodriguez Varela Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate Indian Journal of Neurosurgery pituitary arteriovenous fistula n-butyl-2-cyanoacrylate transsphenoidal surgery |
| title | Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate |
| title_full | Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate |
| title_fullStr | Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate |
| title_full_unstemmed | Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate |
| title_short | Endonasal Arteriovenous Fistula Following Transsphenoidal Resection of Pituitary Adenoma Treated with N-Butyl-2-Cyanoacrylate |
| title_sort | endonasal arteriovenous fistula following transsphenoidal resection of pituitary adenoma treated with n butyl 2 cyanoacrylate |
| topic | pituitary arteriovenous fistula n-butyl-2-cyanoacrylate transsphenoidal surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1698000 |
| work_keys_str_mv | AT giancarlosaalzapata endonasalarteriovenousfistulafollowingtranssphenoidalresectionofpituitaryadenomatreatedwithnbutyl2cyanoacrylate AT walterdurandcastro endonasalarteriovenousfistulafollowingtranssphenoidalresectionofpituitaryadenomatreatedwithnbutyl2cyanoacrylate AT rodolforodriguezvarela endonasalarteriovenousfistulafollowingtranssphenoidalresectionofpituitaryadenomatreatedwithnbutyl2cyanoacrylate |