Blister aneurysms

Waleed Brinjikji, Giuseppe Lanzino

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Blister aneurysms of the supraclinoid internal carotid artery are difficult to treat with endovascular and surgical techniques due to their marked fragility, tiny size, and poorly defined necks. Surgical techniques aimed at treating these lesions include bypass, clip-reinforced wrapping, and direct surgical clipping. Endovascular treatment options include parent artery occlusion, stent-assisted coil embolization, and flow diverter treatment. Over the past decade, endovascular therapy has emerged as the primary treatment modality of these lesions with relatively low complication rates and acceptable rates of complete/near complete occlusion. Introduction of flow diverter technologies has revolutionized treatment of these lesions as one can reconstruct the supraclinoid parent artery without having to manipulate or introduce a catheter and wire into the aneurysm. However, such treatments are not without their complications especially in the setting of subarachnoid hemorrhage due to the fact that patients must be placed on dual antiplatelet therapy.

Original languageEnglish (US)
Title of host publicationIntracranial Aneurysms
PublisherElsevier
Pages681-693
Number of pages13
ISBN (Electronic)9780128117408
ISBN (Print)9780128118832
DOIs
StatePublished - Jan 1 2018

Keywords

  • Blister aneurysm
  • Coiling
  • Flow diverter
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Brinjikji, W., & Lanzino, G. (2018). Blister aneurysms. In Intracranial Aneurysms (pp. 681-693). Elsevier. https://doi.org/10.1016/B978-0-12-811740-8.00040-X