脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
特集 脳頚動脈血マメ状動脈瘤―症 例
Stent-assisted coil embolizationで治療し得た破裂内頚動脈blister-like aneurysmの1例
伊古田 雅史林 盛人平井 希藤田 聡岩間 淳哉中山 晴雄齋藤 紀彦青木 和哉大石 英則岩渕 聡
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2018 年 46 巻 5 号 p. 358-362

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Ruptured blood blister-like aneurysms (BBAs) result in a high rate of acute morbidity and mortality. We report a case of ruptured BBA successfully treated with stent-assisted coil embolization. A 41-year-old man presented with subarachnoid hemorrhage caused by a ruptured internal carotid artery BBA located distal to the posterior communicating artery. The right anterior choroidal artery originated just behind the aneurysm; thus, surgical treatment for the present case carried the risk of ischemic complications. We treated the BBA with stent-assisted coil embolization using the semi-jailing technique. The patient had an uneventful postoperative course, and was discharged home 28 days after symptom onset. This case suggests that stent-assisted coil embolization using the semi-jailing technique is an effective treatment for ruptured BBAs.
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© 2018 一般社団法人 日本脳卒中の外科学会
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