Suturing Treatment for Blood Blister-Like Aneurysm in Supraclinoid Segment of Internal Carotid Artery

Fenghua Chen; Longbo Zhang; Quan Cheng; Zheng Huang; Jun Huang; Junyu Wang

doi:10.1016/j.wneu.2017.09.203

Suturing Treatment for Blood Blister-Like Aneurysm in Supraclinoid Segment of Internal Carotid Artery

World Neurosurg. 2018 Jan:109:271-274. doi: 10.1016/j.wneu.2017.09.203. Epub 2017 Oct 7.

Authors

Fenghua Chen¹, Longbo Zhang², Quan Cheng², Zheng Huang², Jun Huang², Junyu Wang³

Affiliations

¹ Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China. Electronic address: xyswcfh@163.com.
² Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.
³ Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China. Electronic address: xywangjunyu@163.com.

PMID: 29017975
DOI: 10.1016/j.wneu.2017.09.203

Abstract

Background: Blood blister-like aneurysms (BBAs) are rare but dangerous and challenging to treat. Recurrence and rebleeding are often reported, and many neurosurgeons and interventional radiologists are discouraged by such poor outcomes. Currently, there is no standard method to treat this type of aneurysm.

Case description: We describe 5 cases of ruptured BBAs in the supraclinoid segment of the internal carotid artery, which were treated successfully using a suturing technique. No patient experienced recurrence or rebleeding, and all patients had a good prognosis.

Conclusions: We conclude that this suturing technique is an optional safe and reliable method to treat BBAs.

Keywords: Blood blister–like aneurysm; ICA; Suturing treatment.

Publication types

Case Reports

MeSH terms

Adult
Aneurysm / surgery*
Carotid Artery, Internal / surgery*
Female
Humans
Male
Middle Aged
Sutures
Treatment Outcome