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Guidewire Breakage During Cavernous Sinus Sampling: A Rare Complication and Its Treatment
Necmettin Tanriover1, Baris Kucukyuruk1, Saffet Tuzgen1
1Department of Neurosurgery, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey.
World Neurosurgery
|August 29, 2017
Summary
Cavernous sinus sampling (CSS) for pituitary adenomas can have complications. Endoscopic endonasal surgery successfully removed a broken guidewire from the cavernous sinus, avoiding further procedures.
Area of Science:
- Neurosurgery
- Endocrinology
- Skull Base Surgery
Background:
- Venous sampling is crucial for diagnosing pituitary adenomas.
- Complications during these procedures can complicate patient management.
Observation:
- A patient with Cushing disease experienced a microguidewire fracture during cavernous sinus sampling (CSS).
- The broken guidewire segment remained in the right cavernous sinus.
Findings:
- The fractured guidewire was successfully retrieved using an endoscopic endonasal approach.
- Tumor removal was performed concurrently with guidewire retrieval.
Implications:
- Endoscopic skull base surgery offers a safe and effective method for managing CSS-related complications.
- This approach can prevent the need for additional interventions in cases of retained materials in the cavernous sinus.
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