title: Stent-Assisted Coil Embolization of Ruptured Supraclinoid Blood Blister-Like Aneurysm of Internal Carotid Artery.
abstract: OBJECTIVE
  To report angiographic and clinical results obtained in patients with supraclinoid segment blood blister-like aneurysms (BBLAs) of the internal carotid artery treated with stent-assisted coil embolization.
  
  
  METHODS
  A retrospective review of patients, who were treated for a ruptured supraclinoid BBLAs of the internal carotid artery (ICA) from 2004 to 2010, was performed. Clinical data, including hospital records, operative reports, and angiograms, were analyzed. Outcome was assessed using the modified Rankin scale (mRS).
  
  
  RESULTS
  Thirteen ruptured supraclinoid BBLAs in 13 patients were treated with stent-assisted coil embolization without any complication. Six patients recovered without any neurological deficits and three patients had mild neurological deficits (mRS 1 in one and 2 in two patients) due to late ischemic deficit. Three patients died of rebleeding and one died of intracranial infection after ventricular puncture for hydrocephalus.
  
  
  CONCLUSIONS
  In our experience, the natural history of supraclinoid BBLAs is dismal. Some of the lesions rebled after stent-assisted coil embolization.
authors.affiliation: China Medical University, Shengjing Affiliated Hospital, Department of Neurosurgery, Shenyang, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Yu
authors.forename: Jian
authors.initials: J
authors.lastname: Zheng
authors.forename: Yang
authors.initials: Y
authors.lastname: Hong
authors.forename: LiangYu
authors.initials: L
authors.lastname: Chen
authors.forename: Zhuo
authors.initials: Z
authors.lastname: Xi
authors.forename: Mingjun
authors.initials: M
authors.lastname: Yu
authors.forename: Zhongyou
authors.initials: Z
authors.lastname: Que
authors.forename: Yunhui
authors.initials: Y
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome