The therapeutic progress of intracranial blood blister-like aneurysms

doi:10.3969/j.issn.1672-6731.2021.04.016

Abstract

Abstract:

The intracranial blood blister-like aneurysms (BBA) arising from the supraclinoid segment of internal carotid artery are very rary, and grow aggressively with high reruptured rate and mortality. Currently, the treatment methods of BBA are various but achieve no consensus, although including microsurgery and interventional therapy. The article collects the recent research and makes a review of the therapeutic progress of BBA, in order to provide clinical basis for the treatment of BBA and improve its therapeutic effect.

Key words: Intracranial aneurysm, Microsurgery, Embolization, therapeutic, Stents, Review

摘要：

颅内血泡样动脉瘤常起源于颈内动脉床突上段，其发病率低，但进展迅速、再破裂率高、并发症和病死率高，目前临床治疗方法主要包括显微外科手术及血管内介入治疗。尽管治疗方式多样，但临床上对其治疗策略尚未达成统一的共识。本文结合最新文献，对其治疗进展进行综述，以期为血泡样动脉瘤的治疗提供临床依据，提高其治疗效果。

关键词: 颅内动脉瘤, 显微外科手术, 栓塞, 治疗性, 支架, 综述

JIA Qiang, FAN Yi-mu. The therapeutic progress of intracranial blood blister-like aneurysms[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2021, 21(4): 329-334.

贾强, 范一木. 颅内血泡样动脉瘤治疗进展[J]. 中国现代神经疾病杂志, 2021, 21(4): 329-334.

/ / Recommend / Download Citations

URL: http://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2021.04.016

http://journal11.magtechjournal.com/cjcnn/EN/Y2021/V21/I4/329

References

[1] Shah SS, Gersey ZC, Nuh M, Ghonim HT, Elhammady MS, Peterson EC. Microsurgical versus endovascular interventions for blood-blister aneurysms of the internal carotid artery:systematic review of literature and meta-analysis on safety and efficacy[J]. J Neurosurg, 2017, 127:1361-1373.
[2] Tanaka K, Fujiwara M, Okuda Y, Ishida F, Suzuki H. A ruptured blood blister-like aneurysm associated with intraperitoneal hemorrhage due to segmental arterial mediolysis:a case report and literature review[J]. World Neurosurg, 2020, 134:79-85.
[3] Kida S, Tenjin H, Tokuyama T, Saito O. The histopathological findings of two nonbranching saccular cerebral aneurysms[J]. Asian J Neurosurg, 2020, 15:431-433.
[4] Bojanowski MW, Weil AG, McLaughlin N, Chaalala C, Magro E, Fournier JY. Morphological aspects of blister aneurysms and nuances for surgical treatment[J]. J Neurosurg, 2015, 123:1156-1165.
[5] Owen CM, Montemurro N, Lawton MT. Blister aneurysms of the internal carotid artery:microsurgical results and management strategy[J]. Neurosurgery, 2017, 80:235-247.
[6] Meling TR. What are the treatment options for blister-like aneurysms[J]? Neurosurg Rev, 2017, 40:587-593.
[7] Lee J, Kim ST, Shim YW, Back JW, Ko JH, Lee WH, Paeng SH, Pyo SY, Heo YJ, Jeong HW, Jeong YG. Microsurgical treatment for the recurrent cerebral aneurysm initially treated using coil embolization[J]. J Cerebrovasc Endovasc Neurosurg, 2020, 22:165-175.
[8] Liu Z, Zhang S, Wang S, Chen Q. Management of blood blister-like aneurysms of the internal carotid artery:lessons learned from direct clipping in 22 cases[J]. World Neurosurg, 2017, 108:618-626.
[9] Ji T, Guo Y, Huang X, Xu B, Xu K, Yu J. Current status of the treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery:a review[J]. Int J Med Sci, 2017, 14:390-402.
[10] Hanihara M, Yoshioka H, Kanemaru K, Hashimoto K, Shimizu M, Nishigaya K, Fukamachi A, Kinouchi H. Long-term clinical and angiographic outcomes of wrap-clipping for ruptured blood blister-like aneurysms of the internal carotid artery using advanced monitoring[J]. World Neurosurg, 2019, 126:e439-446.
[11] Meling TR, Patet G. Clip-wrapping of ruptured blood blister-like aneurysms of the internal carotid artery[J]. Neurosurg Rev, 2020, 43:1365-1371.
[12] Kim YS, Joo SP, Kim TS. Microsurgical management of ruptured blood blister aneurysms of the internal carotid artery without bypass:a retrospective single-center study of 36 patients over 20 years[J]. World Neurosurg, 2019, 128:e956-965.
[13] Lee JW, Choi HG, Jung JY, Huh SK, Lee KC. Surgical strategies for ruptured blister-like aneurysms arising from the internal carotid artery:a clinical analysis of 18 consecutive patients[J]. Acta Neurochir (Wien), 2009, 151:125-130.
[14] Chen F, Zhang L, Cheng Q, Huang Z, Huang J, Wang J. Suturing treatment for blood blister-like aneurysm in supraclinoid segment of internal carotid artery[J]. World Neurosurg, 2018, 109:271-274.
[15] Shi XE, Qian H, Zhou ZQ, Liu FJ, Sun YM, Yang Y, Liu CY. Microsurgical sutures for treatment of the blood blister-like aneurysm[J]. Zhonghua Shen Jing Wai Ke Za Zhi, 2018, 34:653-657.[石祥恩, 钱海, 周忠清, 刘方军, 孙玉明, 杨扬, 柳成荫. 显微血管缝合技术治疗血泡样动脉瘤[J]. 中华神经外科杂志, 2018, 34:653-657.]
[16] Liu C, Shi X, Zhou Z, Qian H, Liu F, Sun Y, Wang L. Microsuturing technique for the treatment of blood blister aneurysms:a series of 7 cases[J]. World Neurosurg, 2020, 135:e19-27.
[17] Guo Y, Zhang J, Chen H, Xu K, Yu J. Suturing and dural wrapping for a blood blister-like aneurysm on the supraclinoid segment of the internal carotid artery due to dissection[J]. World Neurosurg, 2018, 109:165-170.
[18] Balik V, Kourilova P, Sulla IJ, Vrbkova J, Srovnal J, Sulla I, Talari S. Comparison of bypass and non-bypass surgical treatments for internal carotid artery blood blister-like aneurysms:a meta-analysis of efficacy, safety, and outcomes[J]. World Neurosurg, 2020, 144:283-292.
[19] Meling TR, Patet G. The role of EC-IC bypass in ICA blood blister aneurysms-a systematic review[J]. Neurosurg Rev, 2020.[Epub ahead of print]
[20] Richardson AM, Baskaya MK. Extracranial-intracranial bypass as primary treatment for internal carotid artery blood blister-like aneurysms, not just a last resort[J]. World Neurosurg, 2021, 145:320-322.
[21] Strickland BA, Rennert RC, Bakhsheshian J, Ravina K, Fredrickson V, Giannotta SL, Russin JJ. Extracranial-intracranial bypass for treatment of blister aneurysms:efficacy and analysis of complications compared with alternative treatment strategies[J]. World Neurosurg, 2018, 117:e417-424.
[22] Kikkawa Y, Ikeda T, Takeda R, Nakajima H, Ogura T, Ooigawa H, Kurita H. Results of early high-flow bypass and trapping for ruptured blood blister-like aneurysms of the internal carotid artery[J]. World Neurosurg, 2017, 105:470-477.
[23] Wu YQ, Li LZ, Wang ZY, Zhang T, Xu M, Cheng MX. Endovascular intervention with a low-profile visualized intraluminal support stent versus surgical clipping for blood blister-like aneurysms:a retrospective study[J]. Clin Neuroradiol, 2020.[Epub ahead of print]
[24] Fiorella D, Albuquerque FC, Deshmukh VR, Woo HH, Rasmussen PA, Masaryk TJ, McDougall CG. Endovascular reconstruction with the Neuroform stent as monotherapy for the treatment of uncoilable intradural pseudoaneurysms[J]. Neurosurgery, 2006, 59:291-300.
[25] Tanoue S, Kiyosue H, Matsumoto S, Yamashita M, Nagatomi H, Mori H. Ruptured "blisterlike" aneurysm with a pseudoaneurysm formation requiring delayed intervention with endovascular coil embolization:case report[J]. J Neurosurg, 2004, 101:159-162.
[26] Peitz GW, Sy CA, Grandhi R. Endovascular treatment of blister aneurysms[J]. Neurosurg Focus, 2017, 42:E12.
[27] Zhang X, Shen R, Zhao J, Sun J, Zhang Q, Chen Z. Using overlapping low-profile visualized intraluminal support stent-assisted coil embolization for treating blood blister-like aneurysms of the internal carotid artery[J]. Neurosurg Rev, 2020.[Epub ahead of print]
[28] Fang YB, Li Q, Yang PF, Huang QH, Zhao WY, Xu Y, Hong B, Liu JM. Treatment of blood blister-like aneurysms of the internal carotid artery with stent-assisted coil embolization[J]. Clin Neurol Neurosurg, 2013, 115:920-925.
[29] Zhu DY, Fang YB, Yang PF, Huang QH, Xu Y, Hong B, Liu JM. Efficacy of LVIS stents for blood blister-like aneurysms of internal carotid artery[J]. Zhongguo Nao Xue Guan Bing Za Zhi, 2016, 13:475-479.[诸德源, 方亦斌, 杨鹏飞, 黄清海, 许奕, 洪波, 刘建民. LVIS支架治疗颈内动脉血泡样动脉瘤的疗效[J]. 中国脑血管病杂志, 2016, 13:475-479.]
[30] Hao X, Li G, Ren J, Li J, He C, Zhang HQ. Endovascular patch embolization for blood blister-like aneurysms in dorsal segment of internal carotid artery[J]. World Neurosurg, 2018, 113:26-32.
[31] Kim MJ, Chung J, Shin YS, Lim YC. Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms:technical considerations and outcomes[J]. Neurol Res, 2019, 41:562-568.
[32] Fang Y, Zhu D, Peng Y, Zhong M, Xu J, Li Q, Liang G, Wang Y, Feng W, Wang D, Zhang Y, Chen D, Guo Q, Li T, Xie X, Zhu G, Guan S, Gu Z, Li G, Yang H, He X, Zhu Q, Wan J, Li Q, Yang P, Zhao R, Huang Q, Hong B, Xu Y, Liu J. Treatment of blood blister-like aneurysms with stent-assisted coiling:a retrospective multicenter study[J]. World Neurosurg, 2019, 126:e486-491.
[33] Zhu D, Fang Y, Yang P, Zhang P, Chen L, Xu Y, Hong B, Huang Q, Liu JM. Overlapped stenting combined with coiling for blood blister-like aneurysms:comparison of low-profile visualized intraluminal support (LVIS) stent and non-LVIS stent[J]. World Neurosurg, 2017, 104:729-735.
[34] Kühn AL, Gounis MJ, Puri AS. Introduction:history and development of flow diverter technology and evolution[J]. Neurosurgery, 2020, 86(Suppl 1):3-10.
[35] Mokin M, Chinea A, Primiani CT, Ren Z, Kan P, Srinivasan VM, Hanel R, Aguilar-Salinas P, Turk AS, Turner RD, Chaudry MI, Ringer AJ, Welch BG, Mendes Pereira V, Renieri L, Piano M, Elijovich L, Arthur AS, Cheema A, Lopes DK, Saied A, Baxter BW, Hawk H, Puri AS, Wakhloo AK, Shallwani H, Levy EI, Siddiqui AH, Dabus G, Linfante I. Treatment of blood blister aneurysms of the internal carotid artery with flow diversion[J]. J Neurointerv Surg, 2018, 10:1074-1078.
[36] Linfante I, Mayich M, Sonig A, Fujimoto J, Siddiqui A, Dabus G. Flow diversion with Pipeline Embolic Device as treatment of subarachnoid hemorrhage secondary to blister aneurysms:dual-center experience and review of the literature[J]. J Neurointerv Surg, 2017, 9:29-33.
[37] Cerejo R, Bain M, John S, Hardman J, Moore N, Hussain MS, Toth G. Flow diverter treatment of cerebral blister aneurysms[J]. Neuroradiology, 2017, 59:1285-1290.
[38] Yang C, Vadasz A, Szikora I. Treatment of ruptured blood blister aneurysms using primary flow-diverter stenting with considerations for adjunctive coiling:a single-centre experience and literature review[J]. Interv Neuroradiol, 2017, 23:465-476.
[39] Griessenauer CJ, Enriquez-Marulanda A, Taussky P, Biswas A, Grandhi R, Xiang S, Hong T, Rinaldo L, Lanzino G, Brinjikji W, Burkhardt JK, Kan P, Ghuman M, Yang VXD, Chen K, Aziz-Sultan MA, Ghorbani M, Schirmer CM, Goren O, Dalal SS, Killer-Oberpfalzer M, Müller-Thies-Broussalis E, Koch MJ, Stapleton CJ, Patel AB, Foreman PM, Cress MC, Hirschl RA, Krings T, Zhang H, Dmytriw AA. Experience with the pipeline embolization device for posterior circulations aneurysms:a multicenter cohort study[J]. Neurosurgery, 2020.[Epub ahead of print]
[40] Lang ST, Assis Z, Wong JH, Morrish W, Mitha AP. Rapid delayed growth of ruptured supraclinoid blister aneurysm after successful flow diverting stent treatment[J]. J Neurointerv Surg, 2017, 9:e16.
[41] Zhu D, Yan Y, Zhao P, Duan G, Zhao R, Liu J, Huang Q. Safety and efficacy of flow diverter treatment for blood blister-like aneurysm:a systematic review and meta-analysis[J]. World Neurosurg, 2018, 118:e79-86.
[42] Ma L, Xu JC, Yan S, Feng H, Han HJ, Tan HQ, Fang C, Huang HE. A single-center experience in the endovascular treatment of carotid siphon aneurysms using the Willis Covered Stent:a retrospective analysis[J]. J Neurointerv Surg, 2018, 10:1197-1202.
[43] Liu Y, Yang HF, Xiong ZY, Zheng J, Liu CY, Zhao HY, Hu XB. Efficacy and safety of Willis Covered Stent for treatment of complex vascular diseases of the internal carotid artery[J]. Ann Vasc Surg, 2019, 61:203-211.
[44] Liu LX, Zhang CW, Xie XD, Wang CH. Application of the Willis covered stent in the treatment of blood blister-like aneurysms:a single-center experience and systematic literature review[J]. World Neurosurg, 2019, 123:e652-660.
[45] Fang C, Tan HQ, Han HJ, Feng H, Xu JC, Yan S, Nie ZY, Jin LJ, Teng F. Endovascular isolation of intracranial blood blister-like aneurysms with Willis covered stent[J]. J Neurointerv Surg, 2017, 9:963-968.
[46] Tian Z, Mu S, Li W, Zhu W, Zhang Y, Yang X, Liu J. Recurrence of an internal carotid artery aneurysm after complete exclusion by a Willis Covered Stent[J]. Interv Neuroradiol, 2019, 25:688-691.
[47] Ma L, Feng H, Yan S, Xu JC, Tan HQ, Fang C. Endovascular treatment of complex vascular diseases of the internal carotid artery using the Willis covered stent:preliminary experience and technical considerations[J]. Front Neurol, 2020, 11:554988.
[48] Zeng S, Yang H, Yang D, Xu L, Xu M, Wang H. Case report of late type Ⅲ b endoleak with Willis Covered Stent (WCS) and literature review[J]. World Neurosurg, 2019, 130:160-164.

Please choose a citation manager

Content to export