Chen Fenghua, Zhang Longbo, Cheng Quan, Huang Zheng, Huang Jun, Wang Junyu
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.
World Neurosurg. 2018 Jan;109:271-274. doi: 10.1016/j.wneu.2017.09.203. Epub 2017 Oct 7.
Blood blister-like aneurysms (BBAs) are rare but dangerous and challenging to treat. Recurrence and rebleeding are often reported, and many neurosurgeons and interventional radiologists are discouraged by such poor outcomes. Currently, there is no standard method to treat this type of aneurysm.
We describe 5 cases of ruptured BBAs in the supraclinoid segment of the internal carotid artery, which were treated successfully using a suturing technique. No patient experienced recurrence or rebleeding, and all patients had a good prognosis.
We conclude that this suturing technique is an optional safe and reliable method to treat BBAs.
血泡样动脉瘤（BBAs）罕见但危险且治疗具有挑战性。复发和再出血情况常有报道，许多神经外科医生和介入放射科医生因如此糟糕的治疗结果而气馁。目前，尚无治疗这类动脉瘤的标准方法。
我们描述了5例颈内动脉床突上段破裂的血泡样动脉瘤，采用缝合技术成功治疗。无患者出现复发或再出血，所有患者预后良好。
我们得出结论，这种缝合技术是治疗血泡样动脉瘤的一种安全可靠的可选方法。
