Ruptured blister like aneurysm with satisfactory management using remodeling technique – Case report

  • John F. Vargas Urbina Servicio de Neurocirugía Vascular, Tumores y Funcional, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú. https://orcid.org/0000-0003-2437-8713
  • Rodolfo Rodriguez Varela Servicio de Neurocirugía Endovascular, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú. https://orcid.org/0000-0001-6361-3451
  • Osmar Ordinola Cruz Servicio de Neurocirugía Endovascular, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú. https://orcid.org/0000-0002-2088-7900
  • Giancarlo Saal Zapata Servicio de Neurocirugía Endovascular, Departamento de Neurocirugía, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú. https://orcid.org/0000-0002-4622-7118
Keywords: Intracranial aneurysm, Therapeutic embolization, Subarachnoid hemorrhage, Middle Cerebral Artery

Abstract

Introduction: Blister-like aneurysms are small, complex, smaller than 3mm, with high rate of morbidity and mortality, as well as rebleeding and recurrence. They are difficult to treat and microsurgical and endovascular techniques are current treatment modalities. Endovascular technique has the lowest rate of complications. Clinical case: 74-year-old woman, admitted with 6 hours of sudden sensory disorder. The CT scan shows diffuse subarachnoid hemorrhage predominantly on the left side. A cerebral angiography showed a blister-like aneurysm of the left middle cerebral artery trifurcation. The patient was treated with coiling and remodeling technique, achieving a complete occlusion. Conclusion: Blister-like aneurysms are complex and rare, whereas endovascular therapy is a safe and effective alternative with low complication rate.

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Published
2022-09-20
How to Cite
1.
Vargas Urbina JF, Rodriguez Varela R, Ordinola Cruz O, Saal Zapata G. Ruptured blister like aneurysm with satisfactory management using remodeling technique – Case report. Acta Med Peru [Internet]. 2022Sep.20 [cited 2022Dec.1];39(3). Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/2381
Section
CASE REPORTS

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