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Akitsugu Kawashima
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Associate Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Successful treatment of a blood blister-like aneurysm of the internal carotid artery by trapping with a high-flow bypass. |
| Journal | Formal name：Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Abbreviation：J Clin Neurosci ISSN code：09675868/09675868 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 15(7),pp.797-800 |
| Author and coauthor | Kawashima Akitsugu, Okada Yoshikazu, Kawamata Takakazu, Onda Hideaki, Kubo Osami, Hori Tomokatsu |
| Authorship | Lead author,Corresponding author |
| Publication date | 2008/07 |
| Summary | Treatment of blood blister-like aneurysms of the internal carotid artery (ICA) is difficult because the wall of the aneurysm is fragile and there is a high risk of rebleeding. There has been no consensus on the best way to treat these aneurysms. A 32-year-old woman presented with subarachnoid hemorrhage (SAH) caused by a ruptured blood blister-like aneurysm of the ICA. The site of the aneursym was clipped. Although angiography 1week after the operation showed that the aneurysm had been treated successfully, 3 weeks after the initial operation, the aneurysm was found to have recurred to the distal side. In a second operation, the aneurysm was successfully treated by trapping with a high-flow bypass. This case shows that clipping of the rupture site can be insufficient to treat blood blister-like aneurysm of the ICA causing SAH, even if the aneurysm seems to have resolved in follow-up angiographic studies. Trapping of the ICA with a bypass, if necessary a high-flow bypass, is recommended. |
| DOI | 10.1016/j.jocn.2007.03.012 |
| PMID | 18406147 |