The Management of Very Small/Blister Internal Carotid Artery Aneurysms

Blood blister aneuryms are uncommon lesions that have a poor natural history. Because there is no clear aneurysmal sac to treat they remain challenging lesions to manage whether the approach is endovascular or surgical. Although the management of intracranial cerebral aneurysms has changed subsequen...

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Bibliographic Details
Published in:Interventional neuroradiology 2011-12, Vol.17 (4), p.431-434
Main Authors: Le Feuvre, D.E.J., Taylor, A.G.
Format: Article
Language:English
Subjects:
Adult
Angiography, Digital Subtraction
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - surgery
Carotid Artery, Internal
Cerebral Angiography
Female
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - surgery
Male
Middle Aged
Original
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Blood blister aneuryms are uncommon lesions that have a poor natural history. Because there is no clear aneurysmal sac to treat they remain challenging lesions to manage whether the approach is endovascular or surgical. Although the management of intracranial cerebral aneurysms has changed subsequent to the results published by the ISAT trial, there still exist groups of aneurysms which do not lend themselves to endovascular management. There are recent reports of successful endovascular management using flow diverting approaches but experience is limited and relying on flow change may be insufficient to prevent re-rupture. Surgery when possible offers the advantage of immediate vessel wall reconstruction.
ISSN:1591-0199
2385-2011
DOI:10.1177/159101991101700406