Use of the sundt clip graft in a previously coiled internal carotid artery blister-like aneurysm.

Abstract:

:Owing to the focal wall defect covered with thin fibrous tissues, an aneurysm arising from the dorsal wall of the internal carotid artery (ICA) is difficult to manage either surgically or endovascularly and is often associated with high morbidity and mortality. Unfortunately, the definitive treatment modality of such highly risky aneurysm has not yet been demonstrated. Upon encountering the complex intracranial pathophysiology of such a highly precarious aneurysm, a neurosurgeon would be faced with a challenge to decide on an optimal approach. This is a case of multiple paraclinoid aneurysms including the ICA dorsal wall aneurysm, presented with spontaneous subarachnoid hemorrhage. With respect to treatment, direct clipping with a Sundt graft clip was performed after multiple endovascular interventions had failed. This surgical approach can be a treatment modality for a blood blister-like aneurysm after failed endovascular intervention(s).

journal_name

J Korean Neurosurg Soc

authors

Cho JI,Cho JH

doi

10.3340/jkns.2014.56.6.496

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

496-9

issue

6

eissn

2005-3711

issn

1598-7876

journal_volume

56

pub_type

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