A brain aneurysm is a potentially life-threatening condition that occurs when a weak spot in a blood vessel in the brain balloons or bulges. If left untreated, an aneurysm can rupture, leading to a hemorrhagic stroke—a medical emergency that can cause permanent brain damage or death.
What Is Endovascular Treatment?
Endovascular treatment involves navigating tiny tools through the blood vessels to repair the aneurysm from the inside—without the need for open brain surgery. This approach is performed by our highly skilled neurointerventional surgeons using real-time imaging guidance and catheter-based techniques.
Two of the most common endovascular treatments for brain aneurysms include:
- Coiling (Endovascular Coiling): A soft platinum coil is inserted into the aneurysm via a thin catheter. Once placed, the coil induces clotting inside the aneurysm, preventing blood from entering and thereby reducing the risk of rupture.
- Flow Diversion: A stent-like device is placed in the parent artery across the aneurysm opening. This device redirects blood flow away from the aneurysm, allowing it to heal naturally over time.
These procedures are typically done through a tiny incision in the groin or wrist, using the body’s blood vessels as a pathway to reach the brain.
Benefits of Endovascular Treatment
At IGEA, we emphasize patient-centered care and the least invasive treatments whenever possible. Endovascular treatment offers a range of benefits, including:
- Minimally Invasive Approach: Unlike open surgical clipping, which requires a craniotomy (opening the skull), endovascular treatment is performed through a catheter inserted in a blood vessel. This reduces the trauma to the brain and the body overall.
- Faster Recovery Time: Most patients are able to return home within a day or two of the procedure, compared to the longer hospital stays associated with open surgery. Many resume normal activities within a week.
- Reduced Risk of Complications: Because there is no large incision or manipulation of brain tissue, patients face lower risks of infection, bleeding, and neurological damage. The precision of the procedure also allows for a lower risk of stroke compared to traditional surgery.
- Ideal for High-Risk or Older Patients: For patients who may not be good candidates for open surgery—due to age, medical history, or the location of the aneurysm—endovascular options can offer a life-saving alternative with reduced physical strain.
- Treats Complex or Deep Aneurysms: Some aneurysms are located deep within the brain or near critical structures, making them difficult to reach surgically. Endovascular techniques can access these hard-to-reach areas without disturbing surrounding tissue.
Who Is a Candidate for Endovascular Aneurysm Repair?
Not all aneurysms require immediate treatment, and the decision to proceed with endovascular therapy depends on several factors:
- Size and shape of the aneurysm
- Location within the brain
- Risk of rupture
- Patient’s age and overall health
- Previous history of aneurysm or stroke
At IGEA, we use advanced imaging and diagnostic tools to evaluate the specifics of each case. Our team then collaborates to create a personalized treatment plan that maximizes safety and long-term success.
We combine advanced technology with compassionate care, guiding patients through every step of the process—from diagnosis and treatment to recovery and follow-up.
What to Expect During the Procedure
- Preparation: The patient is placed under general anesthesia. A catheter is inserted through a small incision, usually in the groin or wrist.
- Navigation: Using real-time X-ray imaging (fluoroscopy), the surgeon guides the catheter through the blood vessels to the aneurysm.
- Treatment: Coils or stents are deployed based on the treatment plan.
- Post-Procedure Care: Patients are typically monitored in a recovery unit or overnight hospital stay, then discharged with follow-up instructions and appointments.
Contact the Experts Today
If you or a loved one has been diagnosed with a brain aneurysm, the experts at IGEA Brain, Spine & Orthopedics can help determine the best course of action. Contact us to schedule a consultation and learn more about the most advanced treatment options available.
