Salvage Surgical Treatment for Failed Endovascular Procedure of a Blood Blister-Like Aneurysm
- Authors
- Tack Geun Cho; 황성남; 남택균; 박승원
- Issue Date
- 2012
- Publisher
- 대한뇌혈관외과학회
- Keywords
- Blood-blister like aneurysm; Internal carotid artery; Subarachnoid hemorrhage; Encircling graft clip; Endovascular stent
- Citation
- Journal of Cerebrovascular and Endovascular Neurosurgery, v.14, no.2, pp 99 - 103
- Pages
- 5
- Journal Title
- Journal of Cerebrovascular and Endovascular Neurosurgery
- Volume
- 14
- Number
- 2
- Start Page
- 99
- End Page
- 103
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/35527
- DOI
- 10.7461/jcen.2012.14.2.99
- ISSN
- 2234-8565
2287-3139
- 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.
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Collections - College of Medicine > College of Medicine > 1. Journal Articles
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