Treatment and diagnostics for abroad

Aneurysm is a bulging and thinning of the vessel wall. A brain aneurysm is asymptomatic, but the disease is very dangerous. At any moment, the vessel can rupture and a brain hemorrhage will occur.

Treatment of a brain aneurysm abroad

Treatment of a brain aneurysm abroad is aimed at "turning off" the problem area from the bloodstream, but at the same time maintaining the patency of the vessels, both the carrier and the surrounding ones. The method of treatment of cerebral vessels abroad is chosen depending on the location of the aneurysm.

Diagnosis of a brain aneurysm

3D angiography is a modern method of vascular examination and the main method of detecting aneurysms.  A special contrast is injected into the bloodstream, staining the vessels on the X-ray. Unfortunately, such a diagnosis is rarely made on time, as a person feels quite healthy before the aneurysm ruptures.

If a hemorrhage is suspected in the subarachnoid space (a space filled with cerebrospinal fluid), a puncture into the spinal cord is performed. The resulting cerebrospinal fluid is examined for the presence of blood in it.

Treatment of brain aneurysms abroad — an overview of methods

Clipping. This is a complex operation that requires special microsurgical instruments and an operating microscope. The cranial cavity is opened and blood is removed from the subarachnoid space. Special titanium clips are applied to the aneurysm and the pathological area of the vessel is excised by the surgeon.

Clipping is used in extreme cases. Minimally invasive endovascular surgeries are more often used abroad for the treatment of brain aneurysms.

Coiling. You can reach the problematic cerebral vessel through the large femoral artery. A catheter is inserted through a puncture in the groin area, and the surgeon carefully guides it to the vessels of the brain. The instrument needs to overcome a fairly large area of the circulatory system, and the procedure can be lengthy. The surgeon sees the location of the catheter on the screen in multiple magnification and adjusts it if necessary. To find the desired area faster, contrast is sometimes introduced.

When the catheter reaches the aneurysm, micro-spirals of the thinnest wire are inserted through it. Unwinding, they close the blood flow in the right place. Such an operation does not require dangerous trepanations, is not traumatic, and rehabilitation does not take much time.

Remodeling. If the neck of the aneurysm is wide enough, then the spirals may simply come out without producing the desired effect. In these cases, a micro-balloon is first introduced into the vessel, which inflates, closing the neck of the aneurysm.

Stenting. Reinforcement of the vessel walls from the inside with a special micro-mesh. The grid is installed in the same way as the cylinders and spirals.