| Surgical treatment of the blood blister-like aneurysm of the carotid artery |
| Received:November 16, 2020 Revised:December 31, 2020 Click here to download the full text |
| Citation of this paper:XIANG Chun-hui,TIAN Ren-fu,PAN Ke,SHU Meng-xian.Surgical treatment of the blood blister-like aneurysm of the carotid artery[J].Chinese Journal of Clinical Medicine,2021,28(2):253-257 |
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| Author Name | Affiliation | | XIANG Chun-hui | Department of Neurosurgery, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, China | | TIAN Ren-fu | Department of Neurosurgery, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, China | | PAN Ke | Department of Neurosurgery, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, China | | SHU Meng-xian | Department of Pulmonary Disease Diabetes Mellitus, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, China |
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| Abstract:Objective: To explore the efficacy of endovascular treatment and craniotomy for the blood blister-like aneurysm of the carotid artery.Methods: The clinical data of 6 patients with ruptured bullous aneurysms in the Department of Neurosurgery, the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture from January 2018 to September 2020 were retrospectively analyzed, all patients had subarachnoid hemorrhage, and were given clip or craniotomy according to the actual situations. CTA of head and neck was reexamined 3 months after craniotomy, DSA was reexamined 6 months after endovascular treatment. Telephone or outpatient follow-up was performed and mRS score was evaluated every 3 months. Results: Among the 6 patients, 3 patients were given craniotomy clipping therapy and 3 patients were given endovascular interventional therapy. The mRS score was 0 in 3 cases, 1 in 2 cases, and 3 in 1 case. The follow-up time was 6-24 months. No recurrence or rebleeding was found in 6 patients with DSA or CTA.Conclusions: Both endovascular therapy and craniotomy clipping for the blood blister-like aneurysm of the carotid artery have high treatment risks. if reasonable treatment is given, better efficacy can still be achieved. |
| keywords:blood blister-like aneurysm endovascular treatment clip craniotomy |
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