{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:00:38Z","timestamp":1790694038360,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endoscopic endonasal surgery (EES) has become a popular approach to deal with skull base pathologies. The most catastrophic intra\u2010operative complication of EES is internal carotid artery (ICA) injury. We aim to discuss and introduce our institutional experience with ICA injury during EES.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of patients who underwent EES from 2013 to 2022 was performed to determine the incidence and outcomes of intraoperative ICA injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were six patients (0.56%) with intraoperative ICA injury in our institution during the last 10\u2009years. Fortunately, there was no morbidity or mortality in our patients with intraoperative ICA injuries. The sites of injury were equally in paraclival, cavernous sinus, and preclinoidal segments of ICA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Primary prevention is the best solution for this condition. Regarding our institutional experience, the best option for primary management just after an injury is packing the surgical site. In cases where packing is not enough for temporary control of bleeding, common carotid artery occlusion should be considered. We have presented our experience and reviewed previous studies regarding different treatments and suggested our intra and post\u2010operative management algorithm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.18541","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T01:31:23Z","timestamp":1684978283000},"page":"1964-1969","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Internal carotid artery injury during endoscopic endonasal surgery for skull base pathologies: an institutional incidence, management, and outcome"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5932-9375","authenticated-orcid":false,"given":"Arad","family":"Iranmehr","sequence":"first","affiliation":[{"name":"Neurosurgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Kazem","family":"Sarpoolaki","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Mousa","family":"Sadrehosseini","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base Surgery, Otolaryngology Head Neck Surgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azin","family":"Tabari","sequence":"additional","affiliation":[{"name":"Rhinology and Skull Base Surgery, Otolaryngology Head Neck Surgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Zeinalizadeh","sequence":"additional","affiliation":[{"name":"Neurosurgery Department, Imam Khomeini Hospital Complex Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"261","article-title":"Carotid artery injury during endoscopic endonasal Skull Base surgery: incidence and outcomes","volume":"73","author":"Gardner PA","year":"2013","journal-title":"Neurosurgery"},{"key":"e_1_2_9_3_1","first-page":"401","article-title":"Surgical outcomes of endoscopic endonasal surgery in 29 patients with craniopharyngioma","volume":"82","author":"Iranmehr A","year":"2020","journal-title":"J. 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Part B: Skull Base."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/gs-20-354"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11102-010-0280-1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.07.074"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607314"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25748"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.4864"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2020.06.018"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001180"},{"key":"e_1_2_9_14_1","volume-title":"Injury to the cavernous segment of the internal carotid artery upon transsphenoidal endoscopic removal of pituitary adenomas (report of 4 cases)","author":"Kalinin PL","year":"2013"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opab267"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opaa367"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.06.009"},{"key":"e_1_2_9_18_1","first-page":"2","article-title":"A modified endovascular treatment protocol for iatrogenic internal carotid artery injuries following endoscopic endonasal surgery","volume":"132","author":"Zhang Y","year":"2019","journal-title":"J. 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