Advanced Aneurysm Treatment

The Advanced Aneurysm Treatment Unit at BLK Super Speciality Hospital is a part of the Centre for Neurosciences. Our experts at the centre provide comprehensive care, using a multidisciplinary approach with cutting-edge facilities to be at the forefront of brain aneurysm awareness, education, care, and treatment.

Our team of experts hold expertise in treating most of the complex and rare cases related to a brain aneurysm, in order to ensure quality care and successful recovery. We use the latest minimally invasive technology and services to treat our patients and help them improve their quality of life.
 

What Is a Brain Aneurysm?

A brain aneurysm is the bulging and weakening of an area in the wall of an artery in the brain, resulting in an abnormal widening or ballooning. The aneurysm is always at risk of bursting - leading to a brain haemorrhage. Although most cases of brain aneurysm are likely the result of a genetic alteration, infection or trauma, atherosclerosis can also cause aneurysms. There are three types of aneurysm:

  • Ruptured Aneurysm
  • 'Leaking' Aneurysm
  • Unruptured Aneurysm

What Are The Various Indicators For Brain Aneurysm?

Even though many patients show no symptoms, or simply experience mild headaches, 40% of patients may have warning signs such as:  

  • A localised headache 
  • Cranial nerve paralysis
  • Nausea or vomiting

When the arteries rupture, the patient may experience 

  • Severe headaches
  • Photophobia
  • Neck stiffness 
  • Even loss of consciousness
  • High blood pressure
  • Loss of balance or coordination
  • Sensitivity to light
  • Back or leg pain
  • Pain in the specific area, like eyes
  • Dilated pupils

The above-mentioned symptoms may result in an intra-cranial haemorrhage called the subar-achnoid haemorrhage. A doctor will evaluate the patient for the above symptoms and will prescribe a treatment plan accordingly. 

Are You A Candidate For Advanced Aneurysm Treatment?

A patient requires undergoing Advanced Aneurysm Treatment if you encounter risk factors such as:

Inherited risk factors 

  • Alpha-glucosidase deficiency
  • Alpha 1-antitrypsin deficiency
  • Arteriovenous malformation (AVM)
  • Coarctation of the aorta
  • Ehlers-Danlos syndrome (A less common connective tissue disorder) 
  • Family history of aneurysms
  • Female gender
  • Fibromuscular dysplasia
  • Hereditary hemorrhagic telangiectasia
  • Klinefelter syndrome
  • Noonan's syndrome
  • Polycystic kidney disease (PCKD)
  • Tuberous sclerosis

Acquired risk factors 

  • Advancing age
  • Head injury
  • Infection
  • High alcohol consumption 
  • High blood pressure
  • Atherosclerosis (plaque in the inner lining of an artery, due to fat deposition)
  • Cigarette smoking
  • Use of illicit drugs (cocaine or amphetamine)

These risk factors increase the patient’s risk to develop Brain Aneurysm. Some patients may experience more than one risk factor and may not develop the disease, while others may show no symptoms and can be diagnosed with a brain aneurysm. A doctor will evaluate the patient’s health by performing some diagnostic tests.  

What Are The Various Diagnostic Tests Required Prior To Advanced Aneurysm Treatment?

Some of the most common diagnostic tests used to evaluate the patient’s condition for Brain Aneurysm include:

  • Cerebral Angiography: Diagnostic Cerebral Angiography (DSA) is a procedure done to investigate various abnormalities of the blood vessels in the brain. DSA is performed by placing a catheter in the selected blood vessel and then administering contrast, while a rapid set of X-rays are obtained, much like time-lapse photography. It is the most accurate method to identify and define aneurysms, arteriovenous malformations, carotid stenosis and many other diseases of the blood vessels supplying the central nervous system. 

To provide maximum comfort to the patient, conscious sedation and local anaesthesia are given before the catheters are placed. Most patients undergoing diagnostic angiography need to stay in the hospital for 3 to 6 hours after the procedure. To ensure complete peace of mind, patients are always seen by a physician prior to discharge. After the angiography, patients must avoid heavy lifting or exercise for the next10 days and swimming for 5 days.

  • Computed Tomography Scan (CT or CAT Scan) 

This helps in creating an image of the brain with the help of contrast dye injected into one of your veins to make it easier to see the blood flow and spot aneurysms in your brain.

  • Magnetic Resonance Imaging (MRI)/ Magnetic Resonance Angiography (MRA)

It is a non-invasive and painless procedure that does not involve x-ray radiation to create detailed images of the brain within the body. It is utilised to image almost all parts in the brain using a magnetic field and radio waves.

  • Cerebro-spinal Fluid Test

This test is advised if your doctor suspects that aneurysm may have ruptured. The technician will draw spinal fluid to see whether it contains blood, which could indicate that an aneurysm has ruptured.

What are The Procedures Of Advanced Aneurysm Treatment?

A doctor may prescribe the treatment by evaluating the diagnostic reports and create a plan which works best based on your health and the size, type, and location of the aneurysm. The two most advanced methods used for Aneurysm Treatment include:

  • Microsurgical Clipping•  

It is a surgical process that demands the removal of a section of the patient’s skull in order to locate the aneurysm. A metal clip is then placed on the opening of the aneurysm to cut off the blood flow from the blood vessel that feeds the aneurysm. The brain is then sealed back with stitches.

  • Endovascular Coiling

In endovascular coiling, a very thin metal wire is inserted inside the brain aneurysm, through a miniature catheter, by a highly experienced surgeon. This micro-catheter is navigated through the web of brain arteries under image guidance in a cath lab. Once the catheter reaches the desired location, a series of handmade coils are placed inside the aneurysm and detached from outside the body. These small coils form a coil mass which blocks the blood flow to the aneurysm and subsequently lead to the healing of the artery.

  • Flow Diversion with Stents

It is one of the latest and most advanced treatments for a brain aneurysm, which involves the use of flow diverters, tubular stent-like implants. These implants work by diverting blood flow away from an aneurysm sac, thereby stopping blood movement within the aneurysm. This helps in stimulating the body to improve the site.

What Are The Precautions One Must Take After The Advanced Aneurysm Treatment?

Some major precautions one must take to improve their health condition are:

  • Stop use of cocaine or other stimulant drugs.
  • Stop smoking
  • Maintaining lower blood pressure, by taking measures such as: 
    • Limit the intake of caffeine 
    • Avoid lifting heavy things
  • Eat a healthy diet
  • Exercise regularly as prescribed by the doctors.
  • Avoid consumption of alcohol
  • Stay hydrated

Are There Any Complications Involved?

Some of the common complications associated with the treatment of brain aneurysm include:

  • Discomfort in the area of the incision
  • The patient may feel tired for weeks
  • Diminished appetite
  • Bleeding in the brain 
  • Loss of blood flow to the brain
  • Swelling or infections at the site 
  • Respiratory or urinary infections

More serious problems which are rare include:

  • Heart-related problems
  • Colon problems, 
  • Kidney problems
  • Paralysis (even more rare) 

However, if a patient feels high discomfort after the treatment then he/she must immediately seek a doctor’s help.

Find Complete Relief from BLK Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the BLK Hospital team to schedule an appointment at : +91-11-30403040

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