Your browser doesn't support javascript.
loading
Surgical treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery with extracranial-intracranial bypass and trapping.
Baskaya, Mustafa K; Ahmed, Azam S; Ates, Ozkan; Niemann, David.
Afiliación
  • Baskaya MK; Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin, USA. m.baskaya@neurosurg.wisc.edu
Neurosurg Focus ; 24(2): E13, 2008.
Article en En | MEDLINE | ID: mdl-18275289
ABSTRACT
OBJECT Blood blister-like aneurysms (BBAs) arise from the supraclinoid internal carotid artery (ICA) at non-branching sites. These aneurysms are challenging to treat primarily with either surgical clip placement or endovascular therapy. The authors describe a series of 4 patients who presented with high-grade subarachnoid hemorrhage (SAH) due to a BBA, which was treated with an extracranial-intracranial (EC-IC) bypass followed by trapping of the aneurysm.

METHODS:

Four patients presented with SAH due to a BBA of the ICA. Three of these patients were treated with an endovascular procedure; following the vasospasm period, definitive treatment with EC-IC bypass followed by trapping of the aneurysmal parent vessel was performed.

RESULTS:

Two of the patients who were treated endovascularly suffered rebleeding prior to bypass and trapping. Three of the 4 patients had a good outcome (modified Rankin Scale Score 1 or 2), and 1 patient who suffered 2 episodes of rebleeding died.

CONCLUSIONS:

Treatment of BBAs of the ICA remains difficult, particularly in the setting of high-grade SAH. Patients with this challenging condition often require multiple procedures and have a high incidence of rebleeding. Definitive treatment of these aneurysms consists of EC-IC bypass and surgical or endovascular trapping.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de las Arterias Carótidas / Arteria Carótida Interna / Revascularización Cerebral / Aneurisma Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Focus Asunto de la revista: NEUROCIRURGIA Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de las Arterias Carótidas / Arteria Carótida Interna / Revascularización Cerebral / Aneurisma Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Neurosurg Focus Asunto de la revista: NEUROCIRURGIA Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos