Carotid Complications in Skull Base Surgery

Miguel A Arraez; Cinta Arraez; Angela Ros; Antonio Selfa; Bienvenido Ros

doi:10.1007/978-3-031-61601-3_2

Carotid Complications in Skull Base Surgery

Acta Neurochir Suppl. 2025:133:9-14. doi: 10.1007/978-3-031-61601-3_2.

Authors

Miguel A Arraez¹, Cinta Arraez², Angela Ros², Antonio Selfa², Bienvenido Ros²

Affiliations

¹ Malaga Regional University Hospital, University of Malaga, Malaga, Spain. marraezs@uma.es.
² Malaga Regional University Hospital, University of Malaga, Malaga, Spain.

PMID: 39570340
DOI: 10.1007/978-3-031-61601-3_2

Abstract

Carotid artery rupture is a worrisome complication that sometimes occurs during microsurgical or endoscopic skull base procedures. Many identifiable aspects are related to prevention, intraoperative management, and immediate postoperative endovascular treatment. This article deals with microsurgical and endoscopic cases in which the carotid artery or its branches have been damaged in the context of a resection of skull base lesions. Factors related to the anatomy of the skull base and the arteries and their variations are considered, along with intraoperative measures to control the bleeding. Finally, depending on the case, recommendations for immediate postoperative endovascular management are made.

Keywords: Carotid rupture; Skull base surgery.

Publication types

Review

MeSH terms

Carotid Artery Injuries* / etiology
Endovascular Procedures / adverse effects
Endovascular Procedures / methods
Humans
Intraoperative Complications / etiology
Microsurgery / adverse effects
Microsurgery / methods
Neurosurgical Procedures / adverse effects
Neurosurgical Procedures / methods
Postoperative Complications / etiology
Skull Base Neoplasms / surgery
Skull Base* / surgery