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The Blood Blister Like-aneurysm: Usefulness of Sundt Clip
OBJECTIVE: Blood blister-like aneurysm (BBA) is a kind of dorsal wall aneurysm and it is small, sessile, fragile and hazardous because of its high mortality and morbidity. Many challenges tried to establish the management or strategy. But so far, there is no optimal treatment of choice for the BBA....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680080/ https://www.ncbi.nlm.nih.gov/pubmed/29159150 http://dx.doi.org/10.7461/jcen.2017.19.3.171 |
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author | Park, Tae Joon Kim, Ki Hong Cho, Jae Hoon |
author_facet | Park, Tae Joon Kim, Ki Hong Cho, Jae Hoon |
author_sort | Park, Tae Joon |
collection | PubMed |
description | OBJECTIVE: Blood blister-like aneurysm (BBA) is a kind of dorsal wall aneurysm and it is small, sessile, fragile and hazardous because of its high mortality and morbidity. Many challenges tried to establish the management or strategy. But so far, there is no optimal treatment of choice for the BBA. In this article, 17 cases of the ruptured BBA in one institute were analyzed retrospectively. The operative options were correlated with surgical and clinical outcomes. MATERIALS AND METHODS: During 14 years between October, 2002 and October, 2016, 23 patients were treated for subarachnoid hemorrhage with ruptured dorsal wall aneurysms. There were various strategies for treatment and different outcomes revealed. BBA were 17 (74%) cases and 6 (26%) cases were saccular aneurysm. By excluding saccular aneurysm, BBA was sorted and classified with its morphological characteristics, and the outcome of treatment in each case investigated retrospectively. RESULTS: Among 17 BBA-cases, 8 cases get microsurgical operation by Sundt clip. 5 cases get operation by conventional Yasargil clip, 1 case treated by Yasargil clip with wrapping, and 2 cases underwent endovascular management with coiling, and 1 case was managed by endovascular trapping of involved internal cerebral artery. Clinical outcomes were analyzed with modified Rankin Scale, Glasgow outcome scale and post-operative complications. CONCLUSION: As the optimal management, operation using Sundt clip had much significance in treatment BBA. And, a thorough analysis of the angiography is essential to prepare for the treatment of BBA. |
format | Online Article Text |
id | pubmed-5680080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-56800802017-11-20 The Blood Blister Like-aneurysm: Usefulness of Sundt Clip Park, Tae Joon Kim, Ki Hong Cho, Jae Hoon J Cerebrovasc Endovasc Neurosurg Original Article OBJECTIVE: Blood blister-like aneurysm (BBA) is a kind of dorsal wall aneurysm and it is small, sessile, fragile and hazardous because of its high mortality and morbidity. Many challenges tried to establish the management or strategy. But so far, there is no optimal treatment of choice for the BBA. In this article, 17 cases of the ruptured BBA in one institute were analyzed retrospectively. The operative options were correlated with surgical and clinical outcomes. MATERIALS AND METHODS: During 14 years between October, 2002 and October, 2016, 23 patients were treated for subarachnoid hemorrhage with ruptured dorsal wall aneurysms. There were various strategies for treatment and different outcomes revealed. BBA were 17 (74%) cases and 6 (26%) cases were saccular aneurysm. By excluding saccular aneurysm, BBA was sorted and classified with its morphological characteristics, and the outcome of treatment in each case investigated retrospectively. RESULTS: Among 17 BBA-cases, 8 cases get microsurgical operation by Sundt clip. 5 cases get operation by conventional Yasargil clip, 1 case treated by Yasargil clip with wrapping, and 2 cases underwent endovascular management with coiling, and 1 case was managed by endovascular trapping of involved internal cerebral artery. Clinical outcomes were analyzed with modified Rankin Scale, Glasgow outcome scale and post-operative complications. CONCLUSION: As the optimal management, operation using Sundt clip had much significance in treatment BBA. And, a thorough analysis of the angiography is essential to prepare for the treatment of BBA. Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2017-09 2017-09-30 /pmc/articles/PMC5680080/ /pubmed/29159150 http://dx.doi.org/10.7461/jcen.2017.19.3.171 Text en © 2017 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Park, Tae Joon Kim, Ki Hong Cho, Jae Hoon The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title | The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title_full | The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title_fullStr | The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title_full_unstemmed | The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title_short | The Blood Blister Like-aneurysm: Usefulness of Sundt Clip |
title_sort | blood blister like-aneurysm: usefulness of sundt clip |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5680080/ https://www.ncbi.nlm.nih.gov/pubmed/29159150 http://dx.doi.org/10.7461/jcen.2017.19.3.171 |
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