A Patient with a Ruptured Blood Blister-like Aneurysm of the Internal Carotid Artery in Whom Two LVIS Stents Were Inserted

Ryotaro Suzuki; Tomoji Takigawa; Toru Anazawa; Nobuo Shirasaka; Yoshiyuki Matsumoto; Yoshiko Fujii; Yasuhiko Nariai; Yoshiki Sugiura; Yosuke Kawamura; Issei Takano; Yoshihiro Tanaka; Masaya Nagaishi; Akio Hyodo; Kensuke Suzuki

doi:10.5797/jnet.cr.2019-0068

Case Reports

A Patient with a Ruptured Blood Blister-like Aneurysm of the Internal Carotid Artery in Whom Two LVIS Stents Were Inserted

Ryotaro Suzuki, Tomoji Takigawa, Toru Anazawa, Nobuo Shirasaka, Yoshiyuki Matsumoto, Yoshiko Fujii, Yasuhiko Nariai, Yoshiki Sugiura, Yosuke Kawamura, Issei Takano, Yoshihiro Tanaka, Masaya Nagaishi, Akio Hyodo, Kensuke Suzuki

Author information

Ryotaro Suzuki
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Tomoji Takigawa
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Toru Anazawa
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Nobuo Shirasaka
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiyuki Matsumoto
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiko Fujii
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yasuhiko Nariai
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiki Sugiura
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yosuke Kawamura
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Issei Takano
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshihiro Tanaka
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Masaya Nagaishi
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Akio Hyodo
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Kensuke Suzuki
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan

Keywords: subarachnoid hemorrhage, ruptured aneurysm, blood blister-like aneurysm, multiple overlapping stent, low-profile visualized intraluminal support stents

JOURNAL OPEN ACCESS

2020 Volume 14 Issue 3 Pages 102-107

DOI https://doi.org/10.5797/jnet.cr.2019-0068

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Abstract

Objective: We report a case in which multiple overlapping low-profile visualized intraluminal support (LVIS) stents were used as monotherapy for ruptured blood blister-like aneurysm (BBA) of the internal carotid artery (ICA).

Case Presentation: A 48-year-old female presented to the emergency room with acute-onset headache. She was alert without neurological deficit with subarachnoid hemorrhage (SAH) Hunt and Kosnik grade I. Emergency angiography revealed a BBA from the supraclinoid ICA. This aneurysm had a small diameter, which makes coil embolization difficult. Therefore, we planned to use multiple overlapping LVIS stents as monotherapy for the ruptured aneurysm. The postoperative course was uneventful without rebleeding. The patient exhibited no neurological deficits on the clinical follow-up at 1 year.

Conclusion: Multiple overlapping LVIS stents as monotherapy is useful for ruptured BBAs of the ICA.

Corresponding author

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