keyword
https://read.qxmd.com/read/38497579/aneurysms-located-beyond-the-origin-of-the-major-branches-in-the-posterior-circulation
#1
JOURNAL ARTICLE
Sang-Jeong Song, Yoon-Soo Lee, Sang-Jun Suh
AIM: To evaluate the clinical and radiological features, treatment modalities, and outcomes of unusual aneurysms located beyond the origin of the major branches in the posterior circulation, and to introduce changes in the recent treatment trends due to rapid innovations in endovascular technology. MATERIAL AND METHODS: This was a retrospective study of patients who underwent treatment for these unusual aneurysms, including those that were identified in regular follow-up after treatment, between March 2009 and April 2023...
September 27, 2023: Turkish Neurosurgery
https://read.qxmd.com/read/38467051/compatibility-of-the-semijailing-technique-with-extremely-soft-i-ed-coils-for-ruptured-blood-blister-like-and-dissecting-aneurysms-patient-series
#2
JOURNAL ARTICLE
Hiroki Takahashi, Toshinori Matsushige, Yukishige Hashimoto, Takeshi Hara, Masahiro Hosogai, Shohei Kobayashi, Nobutaka Horie
BACKGROUND: Optimal treatment options for ruptured blood blister-like aneurysms (BBAs) and dissecting aneurysms (DAs) have not yet been established. Endovascular treatment may achieve vessel reconstruction with the preservation of antegrade blood flow; however, securing curative hemostasis at the fragile rupture point remains a major concern. OBSERVATIONS: Two ruptured BBAs and two ruptured DAs treated by stent-assisted coiling with the semijailing technique in the last 2 years are described herein...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38467045/a-vertebral-artery-aneurysm-that-elicited-occipital-pain-showed-no-abnormalities-on-imaging-studies-but-ruptured-the-next-day-illustrative-case
#3
JOURNAL ARTICLE
Masaaki Kawauchi, Kyongsong Kim, Go Inokuchi
BACKGROUND: The authors report the case of a patient with occipital headache whose imaging studies revealed no abnormalities but who died 1 day later due to vertebral artery (VA) aneurysm rupture. OBSERVATIONS: A male in his 40s with no relevant medical history had been taking over-the-counter medication for headache several times a month. One day before he visited our neurosurgery department, he experienced occipital headache, took the usual medicine, and applied a warm compress...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38238159/coil-migration-through-two-flow-diverting-stents
#4
JOURNAL ARTICLE
Patrick Scott Rogers, David Volders, Gwynedd Pickett, Robert Vandorpe
We report a case of a patient who initially presented with a subarachnoid haemorrhage secondary to a ruptured supraclinoid internal carotid artery (ICA) blister aneurysm. The patient was treated successfully with a flow diverter stent (FD) and coiling; however, a large aneurysm recurrence via a feeding posterior communicating artery (PCOM) was noted on the 1-year follow-up angiogram. During the retreatment, a second FD in the ICA resulted in insufficient aneurysm stasis. Therefore, the decision was made to coil sacrifice the PCOM via posterior circulation access...
January 18, 2024: BMJ Case Reports
https://read.qxmd.com/read/38133846/correction-to-treatment-with-a-flow-diverter%C3%A2-assisted-coil-embolization-for-ruptured-blood-blister%C3%A2-like-aneurysms-of-the-internal-carotid-artery-a-technical-note-and-analysis-of-single%C3%A2-center-experience-with-pooled-data
#5
Yi-Bin Zhang, Pei-Sen Yao, Hao-Jie Wang, Bing-Sen Xie, Jia-Yin Wang, Mei Zhu, Deng-Liang Wang, Liang-Hong Yu, Yuan-Xiang Lin, Bin Gao, Shu-Fa Zheng, De-Zhi Kang
No abstract text is available yet for this article.
December 22, 2023: Neurosurgical Review
https://read.qxmd.com/read/38105527/multicenter-study-of-the-safety-and-effectiveness-of-intracranial-aneurysm-treatment-with-the-p64mw-hpc-flow-modulation-device
#6
JOURNAL ARTICLE
M Ernst, A Jamous, M Bartl, C H Riedel, M Holtmannspötter, H Voit-Höhne, D Grieb, M Schlunz-Hendann, T Fiebig, D Fiorella, J Klisch, D Lobsien
BACKGROUND AND PURPOSE: The new p64 flow diverter with hydrophilic polymer coating (HPC) was designed to reduce thrombogenicity. To date, it is unclear how antithrombogenic surface modifications affect neoendothelialization and thrombus formation in patients with unruptured intracranial aneurysms. The purpose of this study was to evaluate the safety and effectiveness of the p64MW-HPC in the treatment of unruptured aneurysms of small to giant size and of both the anterior and posterior circulation...
December 17, 2023: Interventional Neuroradiology
https://read.qxmd.com/read/38074817/anesthesia-management-for-giant-pulmonary-bullae-during-emergency-intracranial-aneurysm-embolization-a-case-report
#7
Xiao-Hong Du, Song Huang
INTRODUCTION: An intracranial aneurysm with an acute subarachnoid hemorrhage is an acute neurosurgical disease that often requires emergency surgical intervention. A patient with giant pulmonary bullae is usually elderly and has consistently resisted any surgery, so general anesthesia is required. However, anesthesia management in patients with pulmonary bullae is challenging due to the possibility of spontaneous pneumothorax, a serious complication. Thus, these patients require careful preoperative evaluation and intraoperative management to ensure rapid recovery and minimize adverse effects from anesthesia...
2023: American Journal of Translational Research
https://read.qxmd.com/read/38021017/adverse-events-during-endovascular-treatment-of-ruptured-aneurysms-a-prospective-nationwide-study-on-subarachnoid-hemorrhage-in-sweden
#8
JOURNAL ARTICLE
Bryndís Baldvinsdóttir, Paula Klurfan, Johanna Eneling, Elisabeth Ronne-Engström, Per Enblad, Peter Lindvall, Helena Aineskog, Steen Friðriksson, Mikael Svensson, Peter Alpkvist, Jan Hillman, Erik Kronvall, Ola G Nilsson
INTRODUCTION: A range of adverse events (AEs) may occur in patients with subarachnoid hemorrhage (SAH). Endovascular treatment is commonly used to prevent aneurysm re-rupture. RESEARCH QUESTION: The aim of this study was to identify AEs related to endovascular treatment, analyze risk factors for AEs and how AEs affect patient outcome. MATERIAL AND METHODS: Patients with aneurysmal SAH admitted to all neurosurgical centers in Sweden during a 3...
2023: Brain Spine
https://read.qxmd.com/read/38020632/retreatment-with-a-pipeline-embolization-device-for-recanalized-aneurysms-following-stent-assisted-coiling-embolization
#9
JOURNAL ARTICLE
Yuhui Ling, Jie Liu, Liyun Zhou, Xiuzhi Xiang, Peiming Wang
BACKGROUND AND PURPOSE: Flow diverters have emerged as viable alternatives for the retreatment of recanalized aneurysms following stent-assisted coiling embolization. In this study, we aim to present our experience of retreatment for such aneurysms using the pipeline embolization device (PED). MATERIALS AND METHODS: This case series presents a retrospective single-center analysis of patients with recanalized aneurysms who underwent retreatment using the PED between July 2019 and April 2023, subsequent to stent-assisted coiling embolization...
2023: Frontiers in Neurology
https://read.qxmd.com/read/37982900/treatment-with-a-flow-diverter-assisted-coil-embolization-for-ruptured-blood-blister-like-aneurysms-of-the-internal-carotid-artery-a-technical-note-and-analysis-of-single-center-experience-with-pooled-data
#10
JOURNAL ARTICLE
Yi-Bin Zhang, Pei-Sen Yao, Hao-Jie Wang, Bing-Sen Xie, Jia-Yin Wang, Mei Zhu, Deng-Liang Wang, Liang-Hong Yu, Yuan-Xiang Lin, Bin Gao, Shu-Fa Zheng, De-Zhi Kang
Treatment of blood blister-like aneurysms (BBAs) of the supraclinoid internal carotid artery (ICA) with flow diverters (FDs) has become widespread in recent years. However, ruptured blood blister-like aneurysm (BBA) of ICA treatment with flow diverter-assisted coil embolization (FDAC) remains controversial. Moreover, limited direct comparative studies have been conducted between the two treatment modalities, FDs and FDAC, for BBAs. The purpose of this study was to document our experience and evaluate the effectiveness and safety of FDAC...
November 20, 2023: Neurosurgical Review
https://read.qxmd.com/read/37945294/interventions-to-treat-patients-with-blood-blister-like-aneurysms-of-the-internal-carotid-artery-a-protocol-for-a-network-meta-analysis
#11
JOURNAL ARTICLE
Yujian Li, Xiang Yang, Huiqing Zhou, Hao Li, Jun Zheng, Li Li, Xuhui Hui
INTRODUCTION: Blood blister-like aneurysm (BBA) is a special type of intracranial aneurysm with relatively low morbidity and high mortality. Various microsurgical techniques and endovascular approaches have been reported, but the optimal management remains controversial. For a better understanding of the treatment of BBA patients, a network meta-analysis that comprehensively compares the effects of different therapies is necessary. METHODS AND ANALYSIS: This protocol has been reported following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols...
November 9, 2023: BMJ Open
https://read.qxmd.com/read/37869375/a-case-of-ruptured-carotid-traumatic-blood-blister-like-aneurysm
#12
Yoshiyuki Matsumoto, Ryuta Nakae, Fumihiro Matano, Asami Kubota, Akio Morita, Yasuo Murai, Shoji Yokobori
Ruptured cerebral aneurysms that occur in the anterior wall of the internal carotid artery (ICA) are known as blood blister-like aneurysms (BBAs); they have been reported to account for 0.3% to 1% of all ruptured ICA aneurysms. In this report, we describe the treatment of an unusual traumatic BBA (tBBA) with high-flow bypass using a radial artery graft, which resulted in a favorable outcome. A 59-year-old female suffered from an acute epidural hematoma, traumatic subarachnoid hemorrhage, and traumatic carotid-cavernous sinus fistula (tCCF) after being involved in a motor vehicle accident...
2023: NMC Case Report Journal
https://read.qxmd.com/read/37856766/salvage-bypass-for-intraoperative-rupture-of-a-blood-blister-like-aneurysm-of-the-internal-carotid-artery-2-dimensional-operative-video
#13
JOURNAL ARTICLE
Muhammad Kusdiansah, Arnau Benet, Katsunari Kiko, Yasuaki Okada, Nakao Ota, Rokuya Tanikawa
No abstract text is available yet for this article.
October 19, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/37850224/blood-blister-aneurysms-of-the-internal-carotid-artery-in-tibetan-and-han-populations-a-retrospective-observational-study
#14
JOURNAL ARTICLE
Bowen Huang, Yanming Ren, Hao Liu, Anqi Xiao, Lunxin Liu, Hong Sun, Yi Liu, Hao Li, Lu Ma, Chang-Wei Zhang, Chao-Hua Wang, Min He, Yuekang Zhang, Chao You, Jin Li
OBJECTIVE: Blood-blister aneurysms (BBAs) of the internal carotid artery (ICA) are challenging lesions with high morbidity and mortality rates. Although research on BBAs is well documented in different populations, the study of BBAs in the Tibetan population is extremely rare. This study aimed to evaluate the characteristics of BBAs and analyze the treatment modalities and long-term outcomes in the Tibetan population in comparison with the Han population. METHODS: The characteristics of patients with BBAs of the ICA from January 2009 to January 2021 at our institution were reviewed...
October 18, 2023: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/37843091/pemphigus-vegetans-of-hallopeau-a-case-report
#15
JOURNAL ARTICLE
Jelena Maljić, Jaka Radoš, Davorin Lončarić, Ines Lakoš Jukić
Dear Editor, Pemphigus vegetans (PV) of Hallopeau is a rare and indolent variant of pemphigus clinically characterized by vegetating lesions preceded by pustules mainly in flexural areas (1,2). This helps us to differentiate it from PV of Neumann, which is a more extensive and refractory disease, more alike to a pemphigus vulgaris outbreak with blisters which turn into vegetating plaques (3). We report the clinical presentation, course, and therapeutic response in a patient diagnosed with PV of Hallopeau from its early stage during a 3-year follow up...
August 2023: Acta Dermatovenerologica Croatica: ADC
https://read.qxmd.com/read/37786750/application-of-the-willis-covered-stent-in-the-treatment-of-complex-vascular-diseases-of-the-internal-carotid-artery-and-vertebral-artery-a-retrospective-single-center-experience
#16
JOURNAL ARTICLE
Yin-Gang Wu, Bowen Wang, Hao Cui, Hao Zhu, Ge Gao
OBJECTIVE: To retrospectively evaluate the efficacy and security of Willis covered stent (WCS) deployment for complex vascular diseases of the internal carotid (ICA) and vertebral (VA) arteries. METHODS: Retrospective analysis was performed on complex vascular disease patients (n=36) treated with WCSs at our center between March 2017 and December 2022, with a 3-36-months follow-up surveillance and digital subtraction angiography (DSA) examination. RESULTS: The WCSs were successfully deployed in all the patients...
2023: Therapeutics and Clinical Risk Management
https://read.qxmd.com/read/37770692/blood-blister-like-aneurysms-of-the-internal-carotid-artery
#17
JOURNAL ARTICLE
Eduardo Vieira, Arlindo U Netto, Auricelio B Cezar, Igor Faquini, Nivaldo S Almeida, Hildo R C Azevedo-Filho
Internal carotid artery blood blister-like aneurysms are challenging lesions that arise from the artery trunk at non-branching sites. They have been recognized since 1969 and are distinct from typical saccular aneurysms. Usually, these aneurysms are broad-based, with no clearly identifiable neck and have extremely friable and fragile walls, thus with a great propensity to cause subarachnoid hemorrhage and to rupture during treatment. Apparently, blister-like aneurysms are formed through an acquired defect of the inner layers (tunica intima and media) of the internal carotid artery wall, probably due to hemodynamic stress in the carotid siphon...
2023: Advances and Technical Standards in Neurosurgery
https://read.qxmd.com/read/37409057/willis-covered-stent-in-the-treatment-of-a-recurrent-blood-blister-like-aneurysm-after-pipeline-implementation-a-case-report
#18
Yu Fu, Feng Fan, Jing Li, Sheng Guan
Blood blister-like aneurysms (BBAs) are fragile and difficult to treat. However, the optimal treatment has yet to be determined. Pipeline embolization devices and Willis covered stent implementation are still controversial strategies for treating BBA. Herein, we report a case of recurrent BBA successfully treated with a Willis covered stent. A long-term follow-up angiography after the procedure indicated complete occlusion of the aneurysm. This case demonstrates the safety and efficacy of applying the Wills cover stent in the treatment of recurrent BBA after Pipeline implantation...
May 2023: J Interv Med
https://read.qxmd.com/read/37398705/blister-like-cerebral-aneurysm-after-endovascular-catheterization-a-case-report-and-literature-review
#19
Ebtesam Abdulla, Krishna Das, Harleen Luther, Andrew Amuah Wireko
Endovascular procedures have become a mainstay in the treatment of neurovascular pathologies like arteriovenous malformations and aneurysms. Catheter-induced blister-like aneurysms (BBAs) have not been described so far in the neurosurgical literature. The authors report a rare case of a possible, catheter-induced (iatrogenic) BBA of the supra-ventral wall of the internal carotid artery (ICA) post-endovascular coiling for posterior communicating artery (PComA) aneurysm and bring the rapid progression of BBA and the grade prognosis...
May 2023: Curēus
https://read.qxmd.com/read/37355489/endovascular-and-microsurgical-management-of-blister-aneurysms-a-multi-centre-review
#20
REVIEW
Joseph Reidy, Kenneth Faulder, Keryn Davidson, Timothy Harrington, Brendan Steinfort, Nazih Assaad, Mark Dexter, Alice Ma
Blister aneurysms (BA) are high-risk cerebrovascular lesions accounting for 1% of intracranial aneurysms. The defective vessel wall and broad-based neck make this clinical entity difficult to treat, with high rates of re-rupture and mortality in patients presenting with acute subarachnoid haemorrhage. Blister aneurysms pose substantial challenges for both endovascular and microsurgical management. The objective of this study is to evaluate endovascular and microsurgical outcomes in intracranial blister aneurysm management across two tertiary hospitals...
June 24, 2023: Neurosurgical Review
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