Combined Endovascular/Neurosurgical Therapy of Blister-Like Distal Internal Carotid Aneurysms Journal Articles uri icon

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abstract

  • Objective:To describe a novel therapeutic strategy for the treatment of “blister-like” aneurysms of the distal internal carotid artery (ICA). Direct surgical treatments of these fragile lesions have been associated with generally poor outcomes.Methods:Two consecutive patients presenting with acute subarachnoid hemorrhage from “blister-like” aneurysms were treated with preliminary balloon occlusion of the ICA, followed by surgical trapping of the ICA beyond the aneurysm.Results:The treatment resulted in complete thrombosis of both aneurysms with no clinical complications.Conclusion:This combined endovascular-neurosurgical approach offers a controlled, safer alternative to primary surgical therapy of “blister-like” aneurysms.

publication date

  • February 2003