Reconstructive endovascular treatment of ruptured blood blister–like aneurysms of the internal carotid artery

Lee, Byung Hee; Kim, Byung Moon; Park, Moon Sun; Park, Sung Il; Chung, Eun Chul; Suh, Sang Hyun; Choi, Chun Sik; Won, Yu Sam; Yu, In Kyu

doi:10.3171/2008.7.jns08257

Cited by 146 publications

(156 citation statements)

References 12 publications

(19 reference statements)

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“…There are a number of articles outlining the treatment of acutely ruptured wide-neck 21,22 or acute blister aneurysms [23][24][25] with stents and/or coils, for which coil placement is difficult or impossible. Tahtinen et al 21 treated 61 patients with wide-neck aneurysms (including 3 vertebral dissections) within 72 hours of the onset of SAH by using Neuroform stents (Boston Scientific, Natick, Massachusetts) and coils.…”

Section: Discussionmentioning

confidence: 99%

Immediate and Midterm Results following Treatment of Recently Ruptured Intracranial Aneurysms with the Pipeline Embolization Device

McAuliffe¹,

Wenderoth²

2011

AJNR Am J Neuroradiol

113

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Section: Discussionmentioning

confidence: 99%

Immediate and Midterm Results following Treatment of Recently Ruptured Intracranial Aneurysms with the Pipeline Embolization Device

McAuliffe¹,

Wenderoth²

2011

AJNR Am J Neuroradiol

113

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“…29,42 The use of flow diversion devices, such as the Pipeline (Covidien) and SILK (Balt Extrusion) devices, has been deemed a technically safe and feasible alternative. 3,5,8,15,26,37,56 However, the aneurysm is not always immediately occluded, leading to the potential risk of rebleeding. 5,26,56 Moreover, the use of such devices requires the administration of antiplatelets, which may complicate the management of hydrocephalus.…”

Section: Clipping Techniquesmentioning

confidence: 99%

“…3,5,8,15,26,37,56 However, the aneurysm is not always immediately occluded, leading to the potential risk of rebleeding. 5,26,56 Moreover, the use of such devices requires the administration of antiplatelets, which may complicate the management of hydrocephalus. 5,26,56 Apart from having a concise repertoire of clip placement techniques corresponding to the types of blister aneurysms when opting for surgery, there is another reason why classifying them into distinct types may be of value.…”

Section: Clipping Techniquesmentioning

confidence: 99%

“…5,26,56 Moreover, the use of such devices requires the administration of antiplatelets, which may complicate the management of hydrocephalus. 5,26,56 Apart from having a concise repertoire of clip placement techniques corresponding to the types of blister aneurysms when opting for surgery, there is another reason why classifying them into distinct types may be of value. At the present time all these lesions are presented in the same category.…”

Section: Clipping Techniquesmentioning

confidence: 99%

“…All aneurysms in our series and those we found in the literature could be readily classified into 1 of these 4 types (Table 2). 1,2,4,6,7,9,10,[12][13][14][18][19][20][23][24][25][26][27][28][29][31][32][33]35,[39][40][41][42][43][44]47,[49][50][51][52]57 Each type presented distinctive surgical pitfalls, which required a different clip placement technique.…”

Section: Blister Aneurysm Classificationmentioning

confidence: 99%

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Morphological aspects of blister aneurysms and nuances for surgical treatment

Bojanowski

Weil

McLaughlin

et al. 2015

JNS

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Blister aneurysms of the internal carotid artery (ICA) arise at a nonbranching site of the dorsal wall of the supraclinoid portion of the ICA. 1,17,30,31,36,38,45,48,53,54 These types of aneurysms are rare and their management remains difficult. Whether the approach to these aneurysms is surgical or endovascular, the literature shows a high mortality and morbidity rate due to their fragile wall with its high rate of rupture during treatment. 28,38,46,48 However, this grim prognosis is based on results that indiscriminately group all blister aneurysms together without taking into account the heterogeneous appearance of these lesions, thus making different treatment strategies difficult to assess. The first goal of this study was to ascertain whether blister aneurysm morphology played a role in the different pitfalls that may be encountered during surgery, and whether this morphology would require adapted surgical strategies. The second goal was to investigate whether any morphological differences could be categorized into abbreviatioN ICA = internal carotid artery. obJect Blister aneurysms of the supraclinoid part of the internal carotid artery (ICA) are known for their high morbidity and mortality rates related to treatment, regardless of whether the treatment is surgical or endovascular. However, this grim prognosis is based on results that indiscriminately group all blister aneurysms together without taking into account the heterogeneous appearance of these lesions. The goal of this study was 2-fold: to determine whether different blister aneurysm morphologies present different pitfalls, which would then require different surgical strategies, as well as to determine whether there are identifiable subgroups of these types of aneurysms based on morphology. methods The authors reviewed the charts, cerebral catheter angiograms, surgical reports, and intraoperative videos of all ICA blister aneurysms treated surgically at the Centre Hospitalier de l'Université de Montréal from 2005 to 2012 to investigate whether there was a relationship between morphology and pitfalls, and whether different surgical strategies had been used according to these pitfalls. During this review process the authors noted 4 distinct morphological aspects. These 4 aspects led to a review of the English and French literature on blister aneurysms in which imaging was available, to determine whether other cases could also be classified into the same 4 subgroups based on these morphological aspects. results The retrospective review of the authors' series of 10 patients allowed a division into 4 distinct subtypes: Type I (classic), Type II (berry-like), Type III (longitudinal), and Type IV (circumferential). These subtypes may at times be progressive stages in the arterial anomaly, and could represent a continuum. Each subtype described in this paper presented its own pitfalls and required specific surgical adaptations. Upon reviewing the literature the authors retained 35 studies involving a total of 61 cases of blister aneurysms, and all cases...

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Hybrid procedure combining clip on wrapping and stent placement for ruptured supraclinoid blood blister‐like aneurysm of the internal carotid artery

Nagasaki

Narikiyo

Nagayama

et al. 2017

Clinical Case Reports

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Reconstructive endovascular treatment of ruptured blood blister–like aneurysms of the internal carotid artery

Cited by 146 publications

References 12 publications

Immediate and Midterm Results following Treatment of Recently Ruptured Intracranial Aneurysms with the Pipeline Embolization Device

Immediate and Midterm Results following Treatment of Recently Ruptured Intracranial Aneurysms with the Pipeline Embolization Device

Morphological aspects of blister aneurysms and nuances for surgical treatment

Hybrid procedure combining clip on wrapping and stent placement for ruptured supraclinoid blood blister‐like aneurysm of the internal carotid artery

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