How I do it: treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery by extracranial-to-intracranial bypass and trapping.

Abstract:

BACKGROUND:Blood blister-like aneurysms (BBAs) pose a significant challenge to neurosurgeons and neuro-interventionalists. These fragile broad-based aneurysms have a propensity to rupture with minimal manipulation during surgical or endovascular explorations because, unlike saccular aneurysms, they lack all layers of the arterial wall. Aneurysm trapping with extracranial-intracranial (EC-IC) bypass is a safe and durable treatment for BBAs. METHODS:We describe our technique and the guiding principles for surgical bypass and trapping of BBAs of the supraclinoid internal carotid artery (ICA). CONCLUSIONS:Treatment of BBAs of the supraclinoid ICA remains difficult. Aneurysm trapping with EC-IC bypass treats BBAs definitively by eliminating the diseased segment of the ICA. We have found the technique and principles described here to be safe and durable in our hands.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Cıkla U,Baggott C,Başkaya MK

doi

10.1007/s00701-014-2212-8

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

2071-7

issue

11

eissn

0001-6268

issn

0942-0940

journal_volume

156

pub_type

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