颅内动脉瘤的夹闭重建技术

                               
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Daniel L. Barrow, M.D., Gustavo Pradilla, M.D., and D. Jay McCracken, M.D.

Emory University Hospital, Department of Neurosurgery, Atlanta, Georgia

Intracranial blister aneurysms are difficult to treat cerebrovascular lesions that typically affect the anterior circulation. These rare aneurysms can lead to acute rupture which usually cannot be treated via endovascular methods, but still require urgent surgical intervention. Surgical options are limited given their unique pathology and often require a combination of wrapping and clip reconstruction. In this video supplement, we present two patients with acute subarachnoid hemorrhage secondary to ruptured blister aneurysms. We demonstrate several surgical techniques for repairing the vascular defect with and without intraoperative rupture.