Endovascular Management of Iatrogenic Vascular Injury in the Craniocervical Region

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dc.authoridAydın, Elçin/0000-0003-0907-3647
dc.authoridGok, Mustafa/0000-0001-7021-0984
dc.authorwosidAydin, Elcin/HGC-1839-2022
dc.authorwosidOran, Ismail/ABG-8329-2020
dc.authorwosidAydın, Elçin/AAI-8276-2021
dc.authorwosidGok, Mustafa/AAA-9425-2020
dc.contributor.authorAydin, Elcin
dc.contributor.authorGok, Mustafa
dc.contributor.authorEsenkaya, Asim
dc.contributor.authorCinar, Celal
dc.contributor.authorOran, Ismail
dc.date.accessioned2024-06-12T11:00:25Z
dc.date.available2024-06-12T11:00:25Z
dc.date.issued2018
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAIM: To evaluate iatrogenic vascular injuries in the craniocervical region and their endovascular management. MATERIAL AND METHODS: Twenty-one patients (9 women, 12 men) with a mean age of 53.6 years (range 16-87 years), who underwent endovascular embolization for iatrogenic vascular injury in the craniocervical region between December 2000 and October 2015, were included in this retrospective study. Types of iatrogenic injuries, etiologies that caused these injuries and details of endovascular managements were reported. RESULTS: The etiologies of the vascular injuries were as follows: transsphenoidal surgery (n=9), skull-base surgery (n=2), cholesteatoma surgery (n=1), tracheostomy (n=2), central venous catheterization (n=2), oropharyngeal tumor operation (n=1), endovascular treatment of internal carotid artery (ICA) stenosis (n=1), suprasellar epidermoid tumor operation (n=1), sphenoid sinus tumor surgery (n=1), and speech prosthesis device placement (n=1). The types of vascular injuries diagnosed at the time of angiography were; 2 occlusions, 2 stenoses, 2 dissections, 1 carotid cavernous fistula, 8 artery rupture with extravasation, and 9 pseudoaneurysms. Endovascular management of these vascular injuries were; parent artery occlusion (PAO) (n=15), aneurysm occlusion (n=3), covered stent (n=1) and conservative management (n=2). All patients except two were successfully treated. No patient had bleeding within a 30-day period after angiography. Long-term follow-up was available in all patients without occurrence of re-bleeding. One patient died due to complications related to primary vascular injury. CONCLUSION: Although iatrogenic vascular injuries are rare, early diagnosis and management may be lifesaving. Endovascular techniques are reliable and safe in most of the patients.en_US
dc.identifier.doi10.5137/1019-5149.JTN.18189-16.1
dc.identifier.endpage78en_US
dc.identifier.issn1019-5149
dc.identifier.issue1en_US
dc.identifier.pmid27593845en_US
dc.identifier.startpage72en_US
dc.identifier.trdizinid271344en_US
dc.identifier.urihttps://doi.org/10.5137/1019-5149.JTN.18189-16.1
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/271344
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20822
dc.identifier.volume28en_US
dc.identifier.wosWOS:000423394400012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Neurosurgical Socen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndovascular Managementen_US
dc.subjectIatrogenic Injuryen_US
dc.subjectCraniocervical Regionen_US
dc.subjectInternal Carotid-Arteryen_US
dc.subjectOf-The-Literatureen_US
dc.subjectTranssphenoidal Surgeryen_US
dc.subjectCerebral-Angiographyen_US
dc.subjectCavernous Fistulaen_US
dc.subjectComplicationsen_US
dc.subjectAneurysmen_US
dc.subjectPseudoaneurysmen_US
dc.subjectDissectionsen_US
dc.subjectEpistaxisen_US
dc.titleEndovascular Management of Iatrogenic Vascular Injury in the Craniocervical Regionen_US
dc.typeArticleen_US

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