scholarly journals A Case of Ruptured Blood Blister-like Aneurysm of internal Carotid Artery Treated with Wrap-clipping Followed by Endovascular Coil Embolization

2010 ◽  
Vol 38 (5) ◽  
pp. 358-362 ◽  
Author(s):  
Rei KONDO ◽  
Miiko ITO ◽  
Kenichiro MATSUDA ◽  
Shinjiro SAITO ◽  
Yasuaki KOKUBO ◽  
...  
Neurosurgery ◽  
2011 ◽  
Vol 69 (4) ◽  
pp. E1005-E1009 ◽  
Author(s):  
Tsuyoshi Ichikawa ◽  
Shigeru Miyachi ◽  
Takashi Izumi ◽  
Noriaki Matsubara ◽  
Takehiro Naito ◽  
...  

Abstract BACKGROUND AND IMPORTANCE: We present a rare case of fenestration of the left supraclinoid intracranial internal carotid artery with 2 associated aneurysms arising proximally and distally from the fenestration that were successfully treated with endovascular coil embolization. This is the first report of these types of aneurysms treated with coiling alone. CLINICAL PRESENTATION: A 47-year-old woman underwent a diagnostic workup; magnetic resonance angiography incidentally revealed 2 tandem aneurysms at the supraclinoid and paraclinoid portion of the left internal carotid artery. Angiography revealed fenestration of the left supraclinoid internal carotid artery with 2 aneurysms both proximal and distal to the fenestration. The patient underwent endovascular coil embolization of the aneurysms simultaneously. The smaller trunk was intentionally occluded to achieve complete packing of the proximal aneurysm. Both aneurysms were totally occluded, and no neurological deficits developed in the patient. CONCLUSION: Based on previous reports, fenestration has the potential to form an aneurysm, and there seemed to be a relatively high incidence of rupture if accompanied by aneurysm. Coiling is one good option to treat aneurysms and should be considered when multiple aneurysms exist because all aneurysms can be treated simultaneously. Proximal occlusion of the smaller trunk is acceptable because of a retrograde flow from the distal end, even if one exists.


2010 ◽  
Vol 153 (2) ◽  
pp. 287-294 ◽  
Author(s):  
Noriaki Matsubara ◽  
Shigeru Miyachi ◽  
Nobuhiro Tsukamoto ◽  
Takashi Izumi ◽  
Takehiro Naito ◽  
...  

2014 ◽  
Vol 69 (6) ◽  
pp. e273-e279 ◽  
Author(s):  
W.J. Lee ◽  
Y.D. Cho ◽  
H.-S. Kang ◽  
J.E. Kim ◽  
W.S. Cho ◽  
...  

2020 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Adam Lipowski ◽  
Sleiman Aboul-Hassan ◽  
Zbigniew Krasiński ◽  
Konrad Woronowicz

In the current case report we present a novel case of a successful coil embolization of the left internal carotid artery aneurysm. Patient presented with neck pain and a palpable pulsating tumor was admitted to the vascular surgery clinic where neck Angio-CT scan was performed. Angio-CT revealed left internal carotid artery aneurysm with a narrow neck. Patient was admitted to the department of vascular surgery where the patient was enrolled into endovascular coil embolization. After the procedure, control angiography showed complete embolization of the aneurysm. Three months following the procedure, doppler ultrasonography of the carotid arteries showed no demonstrable flow into the aneurysm. Six months following the procedure, angio-CT confirmed complete aneurysm thrombosis. Based on this case, endovascular coil embolization of the carotid artery aneurysms is safe and effective method of treatment. Keywords: tumor, aneurysm, coile.


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