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Endovascular treatment of blood blister-like aneurysms in the internal carotid artery using a Willis covered stent
Authors:Yi Gu  Binxian Gu  Yongdong Li  Yueqi Zhu  Haitao Lu  Liming Wei  Mo Chen  Minhua Li  Jieqing Wan  Wu Wang
Affiliation:1. Institute of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China;2. Department of Neurological Surgery, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
Abstract:Background Despite the current availability of flow diverter devices (FDD), problems remains regarding optimal endovascular treatment (EVT) for blood blister-like aneurysms (BBAs) of the internal carotid artery (ICA).Objective To evaluate the safety and efficacy of EVT of BBAs in the ICA with a Willis covered stent.Methods 20 consecutive patients (5 men and 15 women) with ruptured BBAs underwent EVT using a Willis covered stent in two institutions from March 2013 to March 2018. Clinical observations, angiographic characteristics, and procedural and follow-up outcomes were retrospectively evaluated.Results 20 consecutive patients (5 men and 15 women) with ruptured BBAs underwent EVT using a Willis covered stent in two institutions from March 2013 to March 2018. Clinical observations, angiographic characteristics, and procedural and follow-up outcomes were retrospectively evaluated.Conclusion Our initial results demonstrate that reconstructive EVT using a Willis covered stent provides a viable approach to treat ICA BBAs. However, an expanded clinical evaluation and larger cohort are needed to confirm the results.
Keywords:blood blister-like aneurysm  endovascular treatment  Willis covered stent
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