Primary treatment of ruptured blood blister-like aneurysms with stent-assisted coil embolization

Report of two cases

M. Korja*, R. Rautio, S. Valtonen, A. Haapanen

*Corresponding author for this work

    Research output: Contribution to journalArticle

    36 Citations (Scopus)

    Abstract

    Blood blister-like aneurysms (BBAs) are among the most hazardous cerebrovascular aneurysms to treat; microsurgical treatment of these small, wide-necked, and exceptionally fragile aneurysms place patients at significant risk of morbidity or mortality. We report two cases of ruptured BBAs attempted to be treated for the first time with stent-assisted coil embolization solely and review the current literature on treatment options. Our patients underwent stent-assisted coil embolization of the aneurysms in the acute stage of subarachnoid hemorrhage (SAH). One patient was successfully treated without procedure-related complications. The other patient died after surgical internal carotid artery (ICA) occlusion, carried out after intraoperative rerupture of the aneurysm during the endovascular treatment. In the successful case, 8-month and 19-month follow-up angiograms demonstrated incomplete (90%) occlusion with residual filling of the aneurysm neck, which did not need additional coil embolization. Even though stent-assisted coil embolization of ruptured BBAs in the acute stage appears to be a technically feasible treatment option, the present stent-related endovascular technology has potentially hazardous drawbacks.

    Original languageEnglish
    Pages (from-to)180-183
    Number of pages4
    JournalActa Radiologica
    Volume49
    Issue number2
    DOIs
    Publication statusPublished - 2008

    Keywords

    • Aneurysms
    • Brain
    • Embolization
    • Hemorrhage
    • Stents

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