TY - JOUR T1 - Treatment of two blood blister-like aneurysms with flow diverter stenting JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - e4 LP - e4 DO - 10.1136/jnis.2010.004572 VL - 4 IS - 3 AU - Arturo Consoli AU - Sergio Nappini AU - Leonardo Renieri AU - Nicola Limbucci AU - Fabrizio Ricciardi AU - Salvatore Mangiafico Y1 - 2012/05/01 UR - http://jnis.bmj.com/content/4/3/e4.abstract N2 - Purpose Neurosurgical and endovascular treatment of fragile and recurrent aneurysms of the non-branching portion of the internal carotid artery, known as blister-like aneurysms, is challenging. The aim of this paper is to describe two cases of ruptured blister-like aneurysms of the internal carotid artery and of the vertebral artery at the origin of the postero-inferior cerebellar artery, which were both treated with flow diverter (FD) stents.Methods Two patients with a sub-arachnoid hemorrhage secondary to the rupture of a blister-like aneurysm were treated with a Pipeline (ev3, Irvine, California, USA) stent. Digital subtraction angiography and clinical follow-up were carried out.Results Both patients treated with FD stents had an excellent clinical (modified Rankin Scale, mRS 0) and angiographic outcome. In both cases the aneurysms were completely excluded after 6 months.Conclusions Although the use of this endovascular approach is still debated because of poor experience and pharmacological limitations, FD stents may represent a valid alternative approach for treatment of this aneurysm subtype. ER -