Internal Carotid Artery Blister Aneurysm: Review of Endovascular Techniques

zu Verbundenen Objekten

Abstract: Cerebral blister aneurysms are very difficult vascular lesions in terms of accurate diagnosis as well as proper management strategy for vascular neurosurgeons and neurointerventionists. Histopathological analysis has revealed their nature to be more akin to pseudoaneurysms in comparison to the typical berry aneurysms. This explains their fragile nature, with high probability of rerupture and regrowth during the follow-up if not addressed properly. Even though surgical approaches have evolved over the years to minimize intraprocedural rupture and recurrence, they still have relatively high morbidity as well as mortality in comparison to endovascular treatment. Over the last few years, endovascular treatment has evolved significantly, with introduction of new devices and techniques. Focus of the endovascular management has shifted from the deconstructive techniques to reconstructive ones with parent artery preservation. Recent introduction of flow diverter technology has enabled neurointerventionists to manage these difficult lesions with more confidence in terms of avoiding rerupture and recurrence. Flow diverter (FD) use in blister aneurysm resulted in high-technical success, complete aneurysm occlusion, and less complications in comparison to other reconstructive techniques like simple coiling, stent assisted coiling, and overlapping/monotherapy stent placement. Few debatable issues like use of dual antiplatelets in the setting of acute subarachnoid hemorrhage (SAH), timing of drugs in relation to procedures, single/overlapping devices, and concerns during cerebral vasospasm phase need further detailed analysis and standardized protocols. In this article, we have done a review of different endovascular treatment options in the management of internal carotid artery blister aneurysms with special focus on FD and issues related to it.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Internal Carotid Artery Blister Aneurysm: Review of Endovascular Techniques ; volume:05 ; number:03 ; year:2021 ; pages:158-166
Journal of Clinical Interventional Radiology ; 05, Heft 03 (2021), 158-166

Beteiligte Personen und Organisationen
Gupta, Vipul
Londhe, Shrikant
Parthasarathy, Rajsrinivas

DOI
10.1055/s-0041-1726166
URN
urn:nbn:de:101:1-2021121010382482795700
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 05:20 UTC

Datenpartner

Dieses Objekt wird bereitgestellt von:
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Original beim Datenpartner anzeigen

Beteiligte

  • Gupta, Vipul
  • Londhe, Shrikant
  • Parthasarathy, Rajsrinivas

Ähnliche Objekte (12)

Delayed Endovascular Coil Extrusion following Internal Carotid Artery Embolization

Delayed Endovascular Coil Extrusion following Internal Carotid Artery Embolization

Cervical Internal Carotid Artery Saccular Aneurysm Manifesting with Progressive Dysphonia

Cervical Internal Carotid Artery Saccular Aneurysm Manifesting with Progressive Dysphonia

Staged Multimodality Treatment of a Large Ruptured Fusiform Supraclinoid Internal Carotid Artery Aneurysm: Microsurgical Clip.assisted Endovascular Coiling

Staged Multimodality Treatment of a Large Ruptured Fusiform Supraclinoid Internal Carotid Artery Aneurysm: Microsurgical Clip.assisted Endovascular Coiling

Giant Serpentine Internal Carotid Artery Aneurysm with Complex Aortic and Supra-aortic Vascular Anatomy: Endovascular Treatment through Direct Percutaneous Carotid Puncture

Giant Serpentine Internal Carotid Artery Aneurysm with Complex Aortic and Supra-aortic Vascular Anatomy: Endovascular Treatment through Direct Percutaneous Carotid Puncture

A Pulsating Internal Carotid Artery Aneurysm in Pharynx: An Airway Challenge

A Pulsating Internal Carotid Artery Aneurysm in Pharynx: An Airway Challenge

Congenital absence of unilateral internal carotid artery with an intracerebral aneurysm

Congenital absence of unilateral internal carotid artery with an intracerebral aneurysm

Case report: Thrombosed giant cavernous carotid artery aneurysm secondary to cervical internal carotid artery dissection: An unusual entity

Case report: Thrombosed giant cavernous carotid artery aneurysm secondary to cervical internal carotid artery dissection: An unusual entity

Mycotic aneurysm of intracavernous internal carotid artery presenting as cavernous sinus syndrome

Mycotic aneurysm of intracavernous internal carotid artery presenting as cavernous sinus syndrome

Mechanical thrombectomy for internal carotid artery occlusion beyond a large paraclinoid aneurysm

Mechanical thrombectomy for internal carotid artery occlusion beyond a large paraclinoid aneurysm

Left Common Carotid Artery Agenesis with Hypoplastic Left Internal Carotid Artery Originating from the Aortic Arch: A Rare Anomaly Presenting with Internal Carotid Artery Aneurysm and Subarachnoid Hemorrhage

Left Common Carotid Artery Agenesis with Hypoplastic Left Internal Carotid Artery Originating from the Aortic Arch: A Rare Anomaly Presenting with Internal Carotid Artery Aneurysm and Subarachnoid Hemorrhage

Idiopathic internal mammary artery aneurysm

Idiopathic internal mammary artery aneurysm

De novo aneurysm formation on internal carotid artery at origin of thick posterior communicating artery: 7 years after transient occlusion of contralateral internal carotid artery

De novo aneurysm formation on internal carotid artery at origin of thick posterior communicating artery: 7 years after transient occlusion of contralateral internal carotid artery

Verbundene Objekte