{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:04:25Z","timestamp":1791893065870,"version":"4.3.4"},"reference-count":80,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>One of the most feared and dangerous scenarios that can appear during an endoscopic endonasal surgery (EES) is the iatrogenic injury of the internal carotid artery (ICA). Several methods, along with a variety of outcomes, have been described to deal with this complication. To the authors\u2019 knowledge, this is the first report on the use of a Yasargil-type aneurysm clip to solve an ICA injury, preserving the artery\u2019s patency and having a long-term follow-up. The authors discuss the advantages and disadvantages of other vessel preservation techniques compared with clipping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A visually impaired 56-year-old woman was diagnosed with a giant nonfunctional pituitary tumor that invaded the sphenoidal sinus, anterior and posterior ethmoidal cells, and both cavernous sinuses, with suprasellar extension and optochiasmatic compression. The patient underwent EES, and during the final resection phase her left ICA was injured, with massive hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>ICA injury during endoscopic skull base surgery carries high mortality and morbidity; it is essential to maintain carotid flow when possible to avoid short-term and long-term consequences. There are several techniques depicted in the literature to deal with this situation. The authors report the use of a Yasargil mini-clip to deal with the injury for a positive outcome: primary hemostasis, vessel preservation, and no postoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2098","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T15:53:37Z","timestamp":1620143617000},"source":"Crossref","is-referenced-by-count":4,"title":["Repair of internal carotid artery injury with aneurysm clip during endoscopic endonasal surgery: illustrative case"],"prefix":"10.3171","volume":"1","author":[{"given":"David","family":"Fustero de Miguel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Beatriz","family":"L\u00f3pez L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Avedillo Ruid\u00edaz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Orduna Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Casado Pellejero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas Adri\u00e1n","family":"Moles Herbera","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Otolaryngol Clin North Am","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1016\/j.otc.2011.06.009","article-title":"Carotid artery injury after endonasal surgery","volume":"44","author":"Valentine R","year":"2011","unstructured":"Valentine R, Wormald PJ. 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