Salvage Surgical Treatment for Failed Endovascular Procedure of a Blood Blister-Like Aneurysm
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 99-103, 2012.
Article
em En
| WPRIM
| ID: wpr-85339
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Hemorragia Subaracnóidea
/
Angiografia Cerebral
/
Artéria Carótida Interna
/
Stents
/
Aneurisma Intracraniano
/
Incidência
/
Transplantes
/
Procedimentos Endovasculares
/
Aneurisma
/
Pescoço
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2012
Tipo de documento:
Article