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Johnson AK, Holt HK, Serici AJ, et al. Trans-sphenoidal Approach to the Supraclinoid Internal Carotid Artery for Endovascular Access in a Cadaver. Neurointervention. 2013;8(1):29-33doi: 10.5469/neuroint.2013.8.1.29.
Johnson, A. K., Holt, H. K., Serici, A. J., & Moftakhar, R. (2013). Trans-sphenoidal Approach to the Supraclinoid Internal Carotid Artery for Endovascular Access in a Cadaver. Neurointervention, 8(1), 29-33. https://doi.org/10.5469/neuroint.2013.8.1.29
Johnson, Andrew Kelly, et al. "Trans-sphenoidal Approach to the Supraclinoid Internal Carotid Artery for Endovascular Access in a Cadaver." Neurointervention vol. 8,1 (2013): 29-33. doi: https://doi.org/10.5469/neuroint.2013.8.1.29
Johnson AK, Holt HK, Serici AJ, Moftakhar R. Trans-sphenoidal Approach to the Supraclinoid Internal Carotid Artery for Endovascular Access in a Cadaver. Neurointervention. 2013 Feb;8(1):29-33. doi: 10.5469/neuroint.2013.8.1.29. Epub 2013 Feb 28. PMID: 23515414; PMCID: PMC3601277.
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Neurointervention. 2013 Feb;8(1):29-33. doi: 10.5469/neuroint.2013.8.1.29. Epub 2013 Feb 28.

Trans-sphenoidal Approach to the Supraclinoid Internal Carotid Artery for Endovascular Access in a Cadaver.

Neurointervention

Andrew Kelly Johnson, Hunter Kegan Holt, Anthony Joseph Serici, Roham Moftakhar

Affiliations

  1. Department of Neurological Surgery, Rush University Medical Center, Chicago, IL, USA.

PMID: 23515414 PMCID: PMC3601277 DOI: 10.5469/neuroint.2013.8.1.29

Abstract

PURPOSE: Sometimes, intracranial pathology in the distal vasculature cannot be accessed by standard endovascular techniques because of occlusion or insurmountable tortuosity of theinternal carotid artery (ICA). A trans-sphenoidal surgical approach can follow a similar trajectory to the course of the supraclinoid ICA. This study evaluates the feasibility of a trans-sphenoidal approach to the supraclinoid ICA for endovascular access.

MATERIALS AND METHODS: In a fresh cadaver head, the sphenoid sinus was dissected through a trans-sphenoidal route. Bone over the carotid prominence was removed to expose the ICA. The artery was catheterized using the Seldinger technique, and three-dimensional digital subtraction angiography was performed to evaluate the procedure.

RESULTS: The catheter was successfully inserted into the supraclinoid ICA via the trans-sphenoidal route. Three-dimensional radiographic reconstruction confirmed placement of the catheter and the trajectory of the sheath into the supraclinoid ICA.

CONCLUSION: While the trans-sphenoidal route has innumerable disadvantages over the standard endovascular access techniques, this route could be considered when other treatment options are too risky or impractical.

Keywords: Endovascular; Internal carotid artery; Trans-sphenoid

References

  1. Neurosurgery. 2002 Oct;51(4 Suppl):S335-74 - PubMed
  2. Neurosurgery. 2002 Oct;51(4 Suppl):S53-120 - PubMed
  3. AJNR Am J Neuroradiol. 1989 Jan-Feb;10(1):151-4 - PubMed
  4. Infect Control Hosp Epidemiol. 2011 Jan;32(1):77-83 - PubMed
  5. Skull Base Surg. 1991;1(2):73-7 - PubMed
  6. J Vasc Interv Radiol. 2010 May;21(5):738-40 - PubMed

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