Rerupture of a Blister Aneurysm After Treatment With a Single Flow-Diverting Stent.

Abstract:

BACKGROUND AND IMPORTANCE:As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically have high rates of morbidity and mortality despite multiple treatment strategies. We report a case of rebleeding after treatment of a ruptured blister aneurysm with deployment of a single FDS. CLINICAL PRESENTATION:A 29-year-old man presented with subarachnoid hemorrhage and a ruptured dorsal variant internal carotid artery aneurysm. Despite a technically successful treatment with a single FDS, a second catastrophic hemorrhage occurred during the course of his hospitalization. CONCLUSION:This case highlights the risk of hemorrhage during the period after deployment of a single FDS. Ruptured aneurysms, especially of the blister type, are at risk for rehemorrhage while the occlusion remains incomplete after flow diversion. ABBREVIATIONS:FDS, flow-diverting stentICA, internal carotid arterySAH, subarachnoid hemorrhage.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Mazur MD,Taussky P,MacDonald JD,Park MS

doi

10.1227/NEU.0000000000001412

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

E634-E638

issue

5

eissn

0148-396X

issn

1524-4040

pii

00006123-201611000-00018

journal_volume

79

pub_type

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