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Major Internal Carotid Artery Injury During Endoscopic Skull Base Surgery: Case Report.
Miguel A Arraez1, Cinta Arraez-Manrique2, Bienvenido Ros2
1Department of Neurosurgery, Malaga University Hospital, University of Malaga, Malaga, Spain. marraezs@uma.es.
Acta Neurochirurgica. Supplement
|August 7, 2023
Summary
Endoscopic skull base surgery poses risks to major blood vessels. This case study details managing a left internal carotid artery (ICA) injury during chordoma resection, successfully treated with endovascular coiling.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Endovascular Therapy
Background:
- Complex skull base surgery, especially the endoscopic endonasal approach, carries significant risks to major vascular structures.
- Intraoperative damage to the internal carotid artery (ICA) is a potentially devastating complication during these procedures.

