Article

Primary treatment of a blood-blister-like aneurysm of the internal carotid artery with Guglielmi detachable coil embolisation.

Royal Adelaide Hospital, Department of Neurosurgery, North Terrace, Adelaide, South Australia 5000, Australia.
Journal of Clinical Neuroscience (impact factor: 1.25). 11/2008; 15(11):1276-9. DOI:10.1016/j.jocn.2007.08.023 pp.1276-9
Source: PubMed

ABSTRACT Blood-blister-like aneurysms (BBAs) are rare but challenging to treat owing to their fragile, thin walls and poorly defined necks. Studies have shown many complications related to this type of aneurysm. In particularly, other authors have reported high rates of complications arising within a few weeks of BBAs treated with primary endovascular coiling. We report a 44-year-old woman with subarachnoid haemorrhage due to a ruptured BBA to demonstrate successful primary treatment with endovascular coiling without complications or regrowth at 6-month follow up.

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Keywords

44-year-old woman
 
aneurysm
 
BBAs
 
Blood-blister-like aneurysms
 
complications
 
endovascular coiling
 
fragile
 
primary endovascular coiling
 
ruptured BBA
 
subarachnoid haemorrhage
 
thin walls
 

Xenia Doorenbosch