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Neuroradiology

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01-03-2014 | Interventional Neuroradiology

Endovascular internal carotid artery trapping for ruptured blood blister-like aneurysms: long-term results from a single centre

Authors: Byong-Cheol Kim, O-Ki Kwon, Chang Wan Oh, Jae Seung Bang, Gyojun Hwang, Sung-Chul Jin, Hyun Park

Published in: Neuroradiology | Issue 3/2014

Abstract

Introduction

Endovascular internal carotid artery (ICA) trapping was performed to treat ruptured blood blister-like aneurysms (BBAs). The aim of this study was to evaluate the procedural risks and long-term follow-up results.

Methods

The records of 11 consecutive patients with BBAs who underwent endovascular ICA trapping between 2005 and 2010 were reviewed. Clinical outcomes were assessed with modified Rankin Scale (mRS) scores.

Results

Endovascular ICA trapping was performed in 11 patients as either the primary treatment (7 patients) or the secondary treatment (4 patients) after the patient underwent other treatments. Three patients underwent superficial temporal artery (STA)-middle cerebral artery (MCA) bypass when balloon test occlusion (BTO) revealed inadequate collateral circulation. In the primary ICA trapping group (seven patients), six patients had good outcomes (mRS 0 in five, mRS 1 in one), and one patient had a poor outcome (mRS 6: dead). In the secondary ICA trapping group (four patients), two patients had good outcomes (mRS 0), and two patients had poor outcomes (mRS 4, 5). All ten of the surviving patients were clinically stable during the follow-up period (mean 39 months). A radiological follow-up of nine patients (mean 22 months) demonstrated stable occlusion, with the exception of one reopening of the ICA because of coil migration. Perfusion studies of nine patients (mean: 23 months) demonstrated no perfusion decrease.

Conclusion

Endovascular ICA trapping is an effective and durable treatment for BBAs.

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Title: Endovascular internal carotid artery trapping for ruptured blood blister-like aneurysms: long-term results from a single centre
Authors: Byong-Cheol Kim
O-Ki Kwon
Chang Wan Oh
Jae Seung Bang
Gyojun Hwang
Sung-Chul Jin
Hyun Park
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 3/2014
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-014-1317-3

ACC 2024 Congress

Springer Medicine

Endovascular internal carotid artery trapping for ruptured blood blister-like aneurysms: long-term results from a single centre

Abstract

Introduction

Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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