Treatment of blood blister–like aneurysm of the internal carotid artery with stent-assisted coil embolization followed by stent-within-a-stent technique

Case report

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  • 1 Department of Diagnostic Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul;
  • 2 Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon; and
  • 3 Department of Neurosurgery, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Republic of Korea
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✓Ruptured blood blister–like aneurysms (BBAs) of the internal carotid artery (ICA) are potentially dangerous lesions because of the high risk of intraoperative bleeding associated with their wide fragile neck. The authors discuss cases in which BBAs were treated endovascularly during the chronic stage and report a case in which a ruptured BBA of the ICA was successfully treated in the acute phase with stent-assisted coil embolization and a subsequent stent-within-a-stent procedure.

Abbreviations used in this paper:BBA = blood blister–like aneurysm; ICA = internal carotid artery; SAH = subarachnoid hemorrhage.

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Contributor Notes

Address correspondence to: Byung Moon Kim, M.D., Department of Diagnostic Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, 108 Pyung-Dong, Jongro-Ku, Seoul 110-746, Republic of Korea. email: bmoon21@hanmail.net.
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