Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2022; 10(27): 9865-9872
Published online Sep 26, 2022. doi: 10.12998/wjcc.v10.i27.9865
Emergency treatment and anesthesia management of internal carotid artery injury during neurosurgery: Four case reports
Jie Wang, Yu-Ming Peng
Jie Wang, Yu-Ming Peng, Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
Author contributions: Wang J contributed to data collection and reviewed the literature and manuscript drafts; Peng YM contributed to manuscript editing; and all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Yu-Ming Peng, MD, PhD, Chief Doctor, Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, No. 119 Southwest 4th Ring Road, Beijing 100070, China.
Received: May 11, 2022
Peer-review started: May 11, 2022
First decision: May 31, 2022
Revised: June 19, 2022
Accepted: August 17, 2022
Article in press: August 17, 2022
Published online: September 26, 2022
Core Tip

Core Tip: Intraoperative internal carotid artery (ICA) injury is an uncommon but life-threatening event that usually requires transfer to a hybrid or catheter operating room for urgent endovascular treatment; however, the literature on the management of this complication from the anesthesiologist’s perspective is limited. This case series documents four cases of ICA injury during skull base neurosurgery. Effective hemostatic procedures, hemodynamic stabilization and maintenance of mechanical ventilation during and after transfer, rapid localization and implementation of necessary measures to occlude the injured vessel are solid guarantees of patient safety.