![]() Some blood pressure medicines, especially calcium channel blockers and beta blockers, can help relax artery walls and cut down on the risk of a rupture. Statins May Be Prescribed to Prevent Vasospasmīecause high blood pressure can further weaken a brain aneurysm and increase the risk for leaking or rupture, your doctor may prescribe medication to lower your blood pressure level if it’s high. There’s no risk for recurrence or rebleeding of the aneurysm after flow diversion, so this is the only treatment patients may consider a cure for aneurysms, Teitelbaum says. “Over time, the aneurysm is likely to shrink and disappear,” he says. “It is a remarkable device because it allows flow to the important, normal branches, but it deprives the aneurysm of the flow that is necessary to cause it to enlarge,” Dr. ![]() If a patient’s brain aneurysm is large or wide, doctors may opt for flow diversion treatment.įlow diverters are devices made of fine metal wires that guide blood flow through the artery and past the aneurysm, resulting in closure of the aneurysm. ![]() The downside to endovascular embolization is there is a higher risk of recurrence compared with microvascular clipping, so regular monitoring with an angiogram may be necessary. (4,5)īecause endovascular coiling takes less time than clipping, the recovery period is also shorter - about one to two days if there is no bleeding. The wires cause the blood to clot, which obliterates the aneurysm. The coils fill the aneurysm, stabilize it, and prevent blood flow into it. ![]() Once the catheter is at the site of the aneurysm, spirals of platinum wires called coils are passed through the catheter and inserted into the brain aneurysm. An occlusion can also include a bypass procedure, in which a small blood vessel is attached to the brain artery, diverting blood from the section of the damaged artery. ( 6)Īn occlusion is another, similar procedure in which the entire artery that leads to the aneurysm is clamped off and is usually performed when there is damage to the artery. (4, 5)īecause it’s an invasive surgery, microvascular clipping recovery time may span between three and six weeks. The section of skull is then replaced and the scalp is closed. The clip stays in permanently to prevent bleeding and recurrence of the aneurysm. Using a microscope to locate the blood vessel that feeds the aneurysm, the surgeon places a small titanium clip across the neck of the aneurysm to stop the blood flow. Once the patient is under general anesthesia, surgeons remove a section of the skull and locate the aneurysm. Microvascular clipping is a treatment that cuts off blood flow to an aneurysm in the brain. Know that both types of surgery carry risks, such as damage to other blood vessels, recurrence and rebleeding of the aneurysm, and stroke after the surgery. The patient’s family history of aneurysm.The patient’s personal history of subarachnoid hemorrhage (SAH).It can also depend on the following factors: (3) The type of surgery your doctor chooses is largely dependent on the size and location of the aneurysm. There are two options for a ruptured brain aneurysm: endovascular embolization (aka endovascular aneurysm repair, or EVAR) and microvascular clipping. Brain aneurysms that have burst will require emergency surgery for the aneurysm itself and to evacuate blood from the skull, or to drain excess fluid from the brain. If an aneurysm is growing or at risk of rupture or dissection, your doctor will likely perform surgery. ( 4)įollowing are some options you may explore with your doctor: Surgery What It Feels Like to Have a Brain Aneurysmĭoctors will also consider the type, size, and location of the brain aneurysm, along with the person’s age, health, and personal and family medical history.
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