Salvage Surgical Treatment for Failed Endovascular Procedure of a Blood Blister-Like Aneurysm.
10.7461/jcen.2012.14.2.99
- Author:
Tack Geun CHO
1
;
Sung Nam HWANG
;
Taek Kyun NAM
;
Seung Won PARK
Author Information
1. Department of Neurosurgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Blood-blister like aneurysm;
Internal carotid artery;
Subarachnoid hemorrhage;
Encircling graft clip;
Endovascular stent
- MeSH:
Aneurysm;
Carotid Artery, Internal;
Cerebral Angiography;
Endovascular Procedures;
Female;
Humans;
Incidence;
Intracranial Aneurysm;
Middle Aged;
Neck;
Stents;
Subarachnoid Hemorrhage;
Transplants
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2012;14(2):99-103
- CountryRepublic of Korea
- Language:English
-
Abstract:
The blood blister-like aneurysm (BBA) of the internal carotid artery (ICA) is a rare but clinically important cause of subarachnoid hemorrhage (SAH), which accounts for 0.5% of incidences of ruptured intracranial aneurysms. BBA is a thin-walled, broad-based aneurysm that lacks an identifiable neck and is one of the most difficult lesions to treat. In this paper, a case is presented of a 57-year-old woman with SAH. Her cerebral angiography demonstrated a small BBA on the dorsal wall of her right ICA. Endovascular treatment that consisted of a stent-within-a-stent was attempted, but the replacement of the second stent failed, and the aneurysm became bigger. Surgery was performed by clipping the BBA with a Sundt slim-line encircling graft clip. The patient completely recovered with no complications. This treatment may be a salvageable option for BBA, especially when endovascular treatment has failed.
