Blister-like aneurysms of the internal carotid artery - management considerations
Neurochirurgie. 2012 Apr-Jun;58(2-3):170-86.
doi: 10.1016/j.neuchi.2012.02.025.
Epub 2012 Apr 4.
[Article in
English,
French]
Affiliation
- 1 Division of Neurosurgery, Department of Surgery, hôpital Notre-Dame, centre hospitalier de l'université de Montréal, 1560 Sherbrooke St. East, Montreal, QC, Canada H2L 4M1.
Abstract
Blood blister-like aneurysms (BBA) originate at non-branching sites of the internal carotid artery (ICA). These aneurysms present a fragile wall and a poorly defined broad-based neck. Recognition of the BBA is essential for proper management of these vascular lesions. Various surgical and endovascular strategies have been attempted for these heterogeneous lesions. These have been associated with significant morbidity and mortality including rebleeding, regrowth, ischemic and thromboembolic complications. The authors review the key elements important for diagnosis and management of BBA and review current treatment options.
Copyright © 2012. Published by Elsevier Masson SAS.
MeSH terms
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Aneurysm / complications
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Aneurysm / diagnosis
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Aneurysm / surgery*
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Carotid Artery Diseases / complications
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Carotid Artery Diseases / diagnostic imaging
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Carotid Artery Diseases / surgery*
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Cerebral Angiography
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Embolization, Therapeutic / methods
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Humans
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Subarachnoid Hemorrhage / etiology
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Subarachnoid Hemorrhage / surgery*