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Blister-like aneurysms of the supraclinoid internal carotid artery: Challenging endovascular treatment with stent-assisted coiling

Authors
 Jung Yong Ahn  ;  Jun Hyung Cho  ;  Jin Young Jung  ;  Byung Hee Lee  ;  Pyeong Ho Yoon 
Citation
 JOURNAL OF CLINICAL NEUROSCIENCE, Vol.15(9) : 1058-1061, 2008 
Journal Title
 JOURNAL OF CLINICAL NEUROSCIENCE 
ISSN
 0967-5868 
Issue Date
2008
MeSH
Carotid Artery, Internal/diagnostic imaging ; Carotid Artery, Internal/pathology ; Carotid Artery, Internal, Dissection/diagnostic imaging ; Carotid Artery, Internal, Dissection/pathology ; Carotid Artery, Internal, Dissection/therapy* ; Cranial Fossa, Middle/anatomy & histology ; Cranial Fossa, Middle/surgery ; Embolization, Therapeutic/instrumentation ; Embolization, Therapeutic/methods* ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/pathology ; Intracranial Aneurysm/therapy* ; Middle Aged ; Postoperative Complications/prevention & control ; Sphenoid Bone/anatomy & histology ; Stents/standards* ; Stents/trends ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Surgical Procedures/instrumentation ; Vascular Surgical Procedures/methods*
Keywords
Cerebral 무뎌교는 ; Lister-like 무뎌교느 ; Endovascular treatment ; Stent placement
Abstract
'Blister-like'' aneurysms of the supraclinoid segment of the internal carotid artery are usually small and have fragile walls, necessitating special care to prevent rebleeding. These lesions are considered high-risk aneurysms because of the technical difficulties associated with their surgical and endovascular treatment. In this report, we describe the use of stent-assisted, repeated coil embolization in the treatment of a ruptured blister-like aneurysm that experienced rapid growth. Stent-assisted coil embolization is an alternative, but sometimes hazardous, treatment for select blister-like aneurysms. Careful serial follow-up angiography will provide documentation as to the long-term stability of the endovascularly treated blister-like aneurysm described here, but early results are encouraging. Alternatively, placement of telescoped stents or graft-stent devices offers promise for future endovascular therapy.
Full Text
http://www.sciencedirect.com/science/article/pii/S0967586807002962
DOI
10.1016/j.jocn.2007.03.021
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107223
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