How to choose between craniotomy and interventional surgery for unruptured brain aneurysm?

Mondo Health Updated on 2024-01-31

A 60-year-old woman with a headache for two months was found to have an intracranial aneurysm.

The main symptom of the aneurysm was ruptured and bleeding, but she mainly had a headache.

The aneurysm has not ruptured, and the aneurysm has not ruptured.

The site is not particularly common and is located in the right internal carotid artery ophthalmic segment of the communication section.

Aneurysms in this area can also be surgical.

However, the operation is more complicated, craniotomy, clipping, and exposure are not too easy, and the trauma is greater.

If the aneurysm is not treated, there is a risk of rupture and bleeding.

This type of aneurysm is suitable for intervention, which is embolized with a coil to prevent it from bleeding later.

But she had a wide neck for this aneurysm.

If the neck is too wide, it will not be able to stay in this circle, and it will easily fall off.

Therefore, the method of stent assisted coil embolization is now used.

The procedure is to first place the microcatheter in the aneurysm.

Then fill the coil along the microcatheter to the aneurysm cavity to see if it can be barred.

If the bar is good, you don't need a bracket, but if it doesn't work, you have to put a bracket to block it.

After the stent is placed, the aneurysm is filled with coils, usually four or five.

Filling in this aneurysm is basically not very visual, and the purpose is achieved.

Because it doesn't break, we don't have to fill it in very densely.

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