American Association of Neurological Surgeons | Management of arterial injuries in endoscopic endonasal approaches @AANSNeurosurgery | Uploaded March 2021 | Updated October 2024, 5 hours ago.
Management of arterial injuries in endoscopic endonasal approaches

Michael M. McDowell, MD,1 Georgios Zenonos, MD,1 Eric Wang, MD,2 Carl H. Snyderman, MD, MBA,2 and Paul A. Gardner, MD1

Departments of 1Neurological Surgery and 2Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Include when citing: Published online April 1, 2020; DOI: thejns.org/doi/abs/10.3171/2020.4.FocusVid.19976

This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss. An MRI was performed showing a suprasellar mass for which she had been referred to our center for an endoscopic endonasal approach. The tumor was found to be densely adherent to adjacent structures, and an ophthalmic artery and A1–A2 junction injury were sustained during resection. The management of intraoperative vascular injuries is described.


**Intro music: "Daybreak" by Graeme Rosner