Two cases of rapidly enlarged blood blister-like aneurysm of internal carotid artery successfully treated by coil embolization alone: case report

暢夫, 広田; 一樹, 徳植; 晶人, 加藤; 宏務, 保格; 孝, 櫻井; 貴康, 三代; 松平, 露無

doi:10.5797/jnet.5.50

Cited by 1 publication

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“…Park et al 4) reported that re-bleeding or re-enlargement occurred in all patients treated by coil embolization for BBA and maintained that the procedure is a palliative measure to allow the patient to survive the acute period rather than a radical treatment. On the other hand, there have also been reports that emergency coil embolization performed for saccular aneurysms that were apparently BBA resulted in a favorable long-term course without re-enlargement, 1,10,11) similar to our patient. However, our patient differed from other reports in that change to a saccular shape was not observed.…”

Section: Discussionsupporting

confidence: 85%

A Case of Good Outcome in Endovascular Treatment against an Undecided in True or Pseudo Aneurysm

Nonaka

Shoda

Kato

et al. 2017

JNET

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Objective: We report a case in which coil embolization was selected for an aneurysm that caused subarachnoid hemorrhage but was difficult to judge whether it was true or false.Case Presentations: A 78-year-old woman presented with severe subarachnoid hemorrhage. A wide-necked aneurysm was observed in the dilated internal carotid artery. We suspected senile atherosclerotic change, but blood blister-like aneurysm was also considered possible from the aneurysm morphology and dilation of the parent artery. Conservative treatment was initially selected, but as enlargement was noted in part of the aneurysm, coil embolization was performed as an emergency procedure, resulting in a stable postoperative course. Conclusion:In case of urgency, endovascular treatment may be a permissible option when the judgment of whether the aneurysm is true or false is difficult.

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