title: Intracranial blister aneurysms: clip reconstruction techniques.
abstract: Intracranial blister aneurysms are difficult to treat cerebrovascular lesions that typically affect the anterior circulation. These rare aneurysms can lead to acute rupture which usually cannot be treated via endovascular methods, but still require urgent surgical intervention. Surgical options are limited given their unique pathology and often require a combination of wrapping and clip reconstruction. In this video we present two patients with acute subarachnoid hemorrhage secondary to ruptured blister aneurysms. We demonstrate several surgical techniques for repairing the vascular defect with and without intraoperative rupture. The video can be found here: http://youtu.be/nz-JM45uKQU.
authors.affiliation: Emory University Hospital, Department of Neurosurgery, Atlanta, Georgia.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Barrow
authors.affiliation: Emory University Hospital, Department of Neurosurgery, Atlanta, Georgia.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Pradilla
authors.affiliation: Emory University Hospital, Department of Neurosurgery, Atlanta, Georgia.
authors.forename: D Jay
authors.initials: DJ
authors.lastname: McCracken
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D001768:Blister / Q000150:complications; D002533:Cerebral Angiography; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed
keywords: aneurysm; clipping; subarachnoid hemorrhage; video