title: [Ruptured cerebral artery blister aneurysm].
abstract: We report the case of a young patient with subarachnoid haemorrhage secondary to a ruptured blister-like aneurysm. Since this kind of aneurysms have fragile walls without a well-defined neck, their treatment is difficult. We initially planned the deployment of a flow-diverter stent, but an angiogram obtained after 10 days revealed a morphological change of the aneurysm. Therefore, we finally deployed a conventional stent and introduced 2 micro coils into the point of rupture, obtaining a good morphological result without rebleeding. Follow-up at 1 and 6 months did not observe regrowth of the aneurysm. We offer a brief introduction and discussion of this pathology and its treatment.
authors.affiliation: Neurorradiología Intervencionista, Hospital Universitario Central de Asturias, Oviedo, España. Electronic address: peveval@yahoo.es.
authors.forename: Pedro
authors.initials: P
authors.lastname: Vega Valdés
authors.forename: Eduardo
authors.initials: E
authors.lastname: Murias Quintana
authors.forename: Angela
authors.initials: A
authors.lastname: Meilán Martínez
authors.forename: Julio
authors.initials: J
authors.lastname: Gutiérrez Morales
authors.forename: Antonio
authors.initials: A
authors.lastname: Lopez Garcia
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D057510:Endovascular Procedures; D006801:Humans; D006973:Hypertension / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed
keywords: Aneurisma blíster; Blister-like aneurysm; Cirugía; Endovascular; Hemorragia subaracnoidea; Subarachnoid haemorrhage; Surgery