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Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2025; 13(32): 111551
Published online Nov 16, 2025. doi: 10.12998/wjcc.v13.i32.111551
Endovascular electrocoagulation for treating a blister-like microaneurysm with an extremely narrow neck: A case report
Zhi-Yuan Zhang, Xian-Yi Zhang, Guo-Zhang Lu, Shi-Lei Wang, Ji-Heng Hao, Li-Yong Zhang
Zhi-Yuan Zhang, Guo-Zhang Lu, Shi-Lei Wang, Ji-Heng Hao, Li-Yong Zhang, Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng 252001, Shandong Province, China
Xian-Yi Zhang, Graduate School, Shandong First Medical University, Jinan 250117, Shandong Province, China
Co-first authors: Zhi-Yuan Zhang and Xian-Yi Zhang.
Author contributions: Zhang ZY and Zhang XY contributed to manuscript drafting and data collection; Lu GZ and Wang SL reviewed the literature and analyzed data; Hao JH and Zhang LY revised the manuscript. All the authors have read and approved the final manuscript.
Informed consent statement: The patient provided written informed consent and agreed to the publication of this case report.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Yong Zhang, Chief Physician, Department of Neurosurgery, Liaocheng People's Hospital, No. 45 Huashan Road, Economic Development Zone, Dongchangfu District, Liaocheng 252001, Shandong Province, China. 13346256936@163.com
Received: July 3, 2025
Revised: July 20, 2025
Accepted: September 23, 2025
Published online: November 16, 2025
Processing time: 133 Days and 0.5 Hours
Core Tip

Core Tip: Microaneurysms with a diameter of less than 2 mm and a neck of less than 0.5 mm are very rare. This type of microaneurysm is characterized by a small lumen and thin wall and is extremely challenging for surgeons. This article introduces the process of endovascular electrocoagulation for the treatment of aneurysms and provides a feasible solution for the treatment of microaneurysms.