Primary treatment of a blood-blister-like aneurysm of the internal carotid artery with Guglielmi detachable coil embolisation.
Blood-blister-like aneurysms (BBAs) are rare but challenging to treat owing to their fragile, thin walls and poorly defined necks. Studies have shown many complications related to this type of aneurysm. In particularly, other authors have reported high rates of complications arising within a few weeks of BBAs treated with primary endovascular coiling. We report a 44-year-old woman with subarachnoid haemorrhage due to a ruptured BBA to demonstrate successful primary treatment with endovascular coiling without complications or regrowth at 6-month follow up.
Royal Adelaide Hospital, Department of Neurosurgery, North Terrace, Adelaide, South Australia 5000, Australia. xenia@doctor.com
Xenia
X
Doorenbosch
Marguerite
M
Harding
D000328:Adult; D000792:Angiography; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000379:methods; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D013525:Surgical Instruments; D015898:Tomography Scanners, X-Ray Computed