SavedAdd your journal

Journals / Journal of Neurological Sciences (Turkish) / 2015 / Cilt: 32 - Sayı: 3

Bilgisayarlı Tomografi Anjiografide Saptanamayan Internal Karotid Arter Blister Anevrizmasının Traping Yoluyla Tedavisi: Olgu Sunumu

Trapping of Blister-like Aneurysm of the Internal Carotid Artery Undetected on Computed Tomography Angiography: A Case Report

Mehmet Faik ÖZVEREN
Gıyas AYBERK
Sevil ARSLAN
Pages
586–592
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although there are several surgical strategiesavailable to treat, BLAs have a high rate of intraoperative rupture and significant morbidity.Clipping or wrapping of the ruptured site are common treatment techniques for a BLA, stillthe optimal management remains unclear.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Blister like aneurysms (BLA) are very rare lesions, arise on an unusual location with fragileaneurysm wall and obscure neck.
📊
Key Findings & Data:A case of subarachnoid hemorrhage caused by a BLA located at theophthalmic segment of the internal carotid artery (ICA), skipped on the previously obtainedthree dimensional computed tomography (3D CT) angiography is presented.
💡
Conclusion & Impact:Although there are several surgical strategiesavailable to treat, BLAs have a high rate of intraoperative rupture and significant morbidity.Clipping or wrapping of the ruptured site are common treatment techniques for a BLA, stillthe optimal management remains unclear.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Blister like aneurysms (BLA) are very rare lesions, arise on an unusual location with fragileaneurysm wall and obscure neck. Small size and atypical localization may cause incompletevisualization of BLAs. A case of subarachnoid hemorrhage caused by a BLA located at theophthalmic segment of the internal carotid artery (ICA), skipped on the previously obtainedthree dimensional computed tomography (3D CT) angiography is presented. The rightophthalmic segment of the ICA was trapped in consequence of intraoperative bleeding.Knowing the primer collateral circulation prior to treatment of ICA-BLA is important toprevent catastrophic events during surgery. Although there are several surgical strategiesavailable to treat, BLAs have a high rate of intraoperative rupture and significant morbidity.Clipping or wrapping of the ruptured site are common treatment techniques for a BLA, stillthe optimal management remains unclear.

Özet

Blister anevrizmalar (BA) oldukça nadirdir ve anevrizmaların sık görüldüğü damarlarınbifurkasyon kısımları dışında yerleşir. Duvarları oldukça frajil ve boyunları iyi seçilemez.Küçük olmaları ve atipik yerleşimleri BA'ların inkomplet görüntülenmesine neden olur. Buvaka raporunda sağ internal karotid arterin (ICA) oftalmik segmentine yerleşmiş ve dahaönceki radyolojik tetkiklerde saptanamamış, BA'ya bağlı ortaya çıkan subaraknoid hemorajivakası sunulmuştur. Operasyona alınan hastanın sağ ICA oftalmik segmenti intraoperatifkanamaya bağlı olarak oblitere edildi. ICA-BA anevrizmalarında primer kollateral dolaşımınameliyat öncesi bilinmesi, operasyon sırasında ortaya çıkabilecek kötü sonuçlarınengellenmesinde oldukça önemlidir. Tedavi yöntemleri arasında; klipleme, anevrizmanın kasdokusu ile sarılması, ana damar trunkusunun obliterasyonu ve anevrizmanın endovasküleryöntemlerle koil embolizasyonu gibi yöntemler bulunsa da optimal tedavi yöntemi netdeğildir.

🔖

Cite This Article

ÖZVEREN, M. F., AYBERK, G., ARSLAN, S. (2022). Bilgisayarlı Tomografi Anjiografide Saptanamayan Internal Karotid Arter Blister Anevrizmasının Traping Yoluyla Tedavisi: Olgu Sunumu. Journal of Neurological Sciences (Turkish), Cilt: 32 - Sayı: 3, 586–592. https://ajindex.com/articles/564899

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Abe M, Tabuchi K, Yokoyama H, Uchino A: Blood blisterlike aneurysms of the internal carotid artery. J Neurosurg 1998; 89: 419-424
  2. Baskaya MK, Ahmed AS, Ates O, Niemann D: Surgical treatment of blood blister-like aneurysms of the sup raclinoid internal carotid artery with extracranial-intracranial byp ass and trapp ing. Neurosurg Focus 2008; 24: E13
  3. Castro MA, Putman CM, Sheridan MJ: Hemodynamic p atterns of anterior comunicating artery aneurysms: a p ossible association with rup ture. AJNR Am J Neuroradiol 2009; 30: 297– 302
  4. Chung JH, Shin YS, Lim YC, Park M: Ideal Internal Carotid Artery Trapp ing Technique without byp ass in a p atient with Insuff icient collateral Flow. J Korean Neurosurg Soc 2009; 45(4): 260-263
  5. Çinar C, Oran İ, Bozkaya H, Ozgiray E: Endovascular treatment of rup tured blister-like aneurysms with sp ecial ref erence to the f low- diverting strategy. Neuroradiology 2013; 55: 441- 447
  6. Hassan T, Timof eev E V, Saito T, Shimizu H, Ezura M, Tominaga T, Takahashi A, Takayama K: Comp utational rep licas: anatomic reconstructions of cerebral vessels as volume numerical grids at three-dimensional angiograp hy. AJNR Am J Neuroradiol 2004; 25: 1356-65
  7. Ishikawa T, Nakamura N, Houkin K, Nomura M: Pathological consideration of a ''blisterlike'' aneurysm at the sup erior wall of the internal carotid artery: case rep ort. Neurosurgery 1997; 40: 403- 406
  8. Jha AN, Gup ta V: Blister Aneurysms. Neurol India 2009; 57: 2-3
  9. Karamessini MT, Kagadis GC, Petsas T, Karnabatidis D, Konstantinou D, Sakellarop oulos GC, Nikif oridis GC, Siablis DI: CT Angiograp hy with three-dimensional techniques f or the early diagnosis of intracranial aneurysms. Comp arison with intra-arterial DSA and the surgical f indings. Eur J Radiol 2004; 49: 212-223
  10. Koszewski W. Novak A: Blister-like aneurysm of anterior wall of the internal carotid artery non related to arterial branches. Case rep ort and review of literature. Neurol Neurochir Pol 2002; 36: 1007- 1018
  11. Lee J W, Choi HG, Jung JY, Huh SH, Lee KC: Surgical strategies f or rup tured blister-like aneurysms arising f rom the internal carotid artery: a clinical analysis of 18 consecutive p atients. Acta Neurochir (Wien) 2009; 151: 125-30
  12. Meling TR, Sorteberg A, Bakke SJ, Slettebo H, Hernesniemi J, Sorteberg W: Blood blister-like aneurysms of the internal carotid artery trunk causing subarachnoid hemorhage: treatment and outcome. J Neurosurg 2008; 108: 662-671
  13. Nakagawa F, Ko