PMID: 19940410Nov 27, 2009Paper

Universal external carotid artery to proximal middle cerebral artery bypass with interposed radial artery graft prior to approaching ruptured blood blister-like aneurysm of the internal carotid artery

Neurologia Medico-chirurgica
Tatsuya IshikawaNobuyuki Yasui

Abstract

Blood blister-like aneurysms are dangerous aneurysms with fragile walls arising from the supraclinoid internal carotid artery (ICA). Primary treatment of these aneurysms in the acute stage is challenging, due to the substantial risk of periprocedural bleeding. We describe a series of 4 patients who presented with ruptured blister-like aneurysm of the ICA and were treated with completion of extracranial-intracranial high-flow bypass followed by inspection and trapping of the aneurysm. All patients were treated in the acute stage, within 48 hours of bleeding. External carotid artery to proximal middle cerebral artery bypass with interposed radial artery (RA) graft was established followed by approach to the lesion and trapping of the parent vessels. The aneurysms in 3 patients ruptured during dissection of the lesion from the surrounding structures, but bleeding was easily controlled. RA grafts were patent in all patients and no postoperative symptomatic ischemic or hemorrhagic complications were encountered, resulting in excellent outcomes with modified Rankin scale scores of 0 at follow up after 3 months. Our present strategy for surgical treatment of blister-like aneurysms completely avoided the risk of devastating intraoperat...Continue Reading

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Citations

May 18, 2011·Neurosurgical Review·Jan RegelsbergerManfred Westphal
Apr 7, 2012·Neuro-Chirurgie·N McLaughlinM W Bojanowski
Jun 9, 2015·Journal of Neurosurgery·Michel W BojanowskiJean-Yves Fournier
Jul 22, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hidenori EndoTeiji Tominaga
May 12, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jonathan J RussinSteven L Giannotta
Apr 12, 2016·Neurologia Medico-chirurgica·Koichi Arimura, Koji Iihara
Apr 10, 2015·Journal of Neurointerventional Surgery·M Yashar S KalaniCameron McDougall
Jul 6, 2014·Neurosurgery·Jang W YoonUNKNOWN Endovascular Neurosurgery Research Group
Jul 26, 2016·Journal of Korean Neurosurgical Society·Xue-Dong LiJia-Kang Chen
Apr 23, 2020·Neurosurgical Review·Torstein R Meling, Gildas Patet
Jul 20, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jiwei ZhangXianli Lv
Jul 6, 2021·World Neurosurgery·Victoria E SanchezJeremiah N Johnson

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