scholarly journals Real-world treatment results for ruptured blood-blister aneurysm of the internal carotid artery: analysis of a Japanese nationwide multicenter study

Author(s):  
Yusuke Egashira ◽  
Yukiko Enomoto ◽  
Noriyuki Nakayama ◽  
Miki Fujimura ◽  
Yuichiro Kikkawa ◽  
...  

2021 ◽  
Author(s):  
Yusuke Egashira ◽  
Yukiko Enomoto ◽  
Noriyuki Nakayama ◽  
Miki Fujimura ◽  
Yuichiro Kikkawa ◽  
...  

Abstract Objective. Ruptured blood-blister aneurysm (BBA) of the internal carotid artery (ICA) remains a challenging lesion, even in the age of modern neurosurgery and endovascular treatment. This retrospective multicenter study aimed to investigate the real-world treatment choice and treatment results.Methods. We included 182 ruptured BBAs of the ICA treated at 51 neurosurgical centers in Japan between 2013 and 2017. The baseline patient characteristics, radiological features of the aneurysm, treatment modality, details of treatment, complications of treatment, treatment results were retrospectively collected. The treatment strategy was divided into deconstructive and reconstructive procedures. Primary clinical outcomes were evaluated using the modified Rankin Scale (mRS) at final follow-up.Results. Direct surgery was performed in 144 (79%) cases, and the remaining 38 (21%) cases received endovascular treatment. The majority of treatment selections were deconstructive and reconstructive procedures in the direct surgery group and endovascular treatment group, respectively. Overall, favorable clinical outcomes (mRS 0 to 2) were achieved in 66% of cases, and the mortality rate was 15% at the final follow-up (mean 23 months). There was no significant difference in clinical outcome between direct and endovascular treatment groups. Conclusion. Our large nationwide study compared the real-world treatment options for ruptured BBAs and their results. Our findings may offer beneficial information for treatment decision and for future studies investigating ruptured BBAs.



2012 ◽  
Vol 21 (6) ◽  
pp. 481-488
Author(s):  
Hidemichi Ito ◽  
Hiroyuki Morishima ◽  
Hidetaka Onodera ◽  
Daisuke Wakui ◽  
Yuichiro Tanaka ◽  
...  


2018 ◽  
Vol 162 (4) ◽  
pp. 319-323 ◽  
Author(s):  
Tomas Dornak ◽  
Maria Justanova ◽  
Romana Konvalinkova ◽  
Jan Muzik ◽  
Martina Hoskovcova ◽  
...  


Pituitary ◽  
2016 ◽  
Vol 19 (4) ◽  
pp. 422-428 ◽  
Author(s):  
Anika Hoffmann ◽  
Monika Warmuth-Metz ◽  
Kristin Lohle ◽  
Julia Reichel ◽  
Anna M. M. Daubenbüchel ◽  
...  


Author(s):  
Michael J. Gigliotti ◽  
Ahmad Sweid ◽  
Kareem El Naamani ◽  
Neel Patel ◽  
Kevin M. Cockroft ◽  
...  


VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 491-494 ◽  
Author(s):  
Vávrová ◽  
Slezácek ◽  
Vávra ◽  
Karlová ◽  
Procházka

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.



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